Shayna D Crisp, LPC
Individual provider Active NPI Professional Counselor · Aledo, TX
NPI 1376300657 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1376300657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 65568 (TX)
- Practice address
- 604 Rockledge CT
Aledo, TX 76008-1560 - Phone
- (682) 553-6435
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65568 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65568 | TX | Yes |
Addresses
Primary practice location
604 Rockledge CT
Aledo, TX 76008-1560
Mailing address
604 Rockledge CT
Aledo, TX 76008-1560
Phone (682) 553-6435
Other providers in Aledo, TX
- Cook Children'S Medical Center
- Cook Children'S Medical Center
- Jeani Copeland
- Gillian Elaine Cornelius
- Coyote Chiropractic PLLC
- Abby Kate Crowell
- CVS Pharmacy Inc
- Roger Ambrous Cyprian
- Ashton Dale
- Mark Richard Dambro
All providers in Aledo, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.