Individual provider Active NPI

Sandra Kaye Crisp, LPC

  • Professional Counselor
  • Hitchcock, TX
National Provider Identifier
1396510533
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87427 Issued in TX
Practice address
6707 E Bayou Dr
Hitchcock, TX 77563-3531
Phone
(409) 256-6171
NPI assigned
Nov 17, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 87427 TX Primary
Professional Counselor 101YP2500X TX

Addresses

Primary practice location

6707 E Bayou Dr
Hitchcock, TX 77563-3531

Mailing address

6707 E Bayou Dr
Hitchcock, TX 77563-3531
Phone (409) 256-6171

Other identifiers 1

IdentifierTypeStateIssuer
87427OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Crisp Counseling LLC Professional CurrentSince Nov 19, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1396510533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 E BAYOU DR",
            "city": "HITCHCOCK",
            "state": "TX",
            "postal_code": "775633531",
            "telephone_number": "409-256-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 E BAYOU DR",
            "city": "HITCHCOCK",
            "state": "TX",
            "postal_code": "775633531",
            "telephone_number": "409-256-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "SANDRA",
        "middle_name": "KAYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87427",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "87427",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hitchcock, TX

Sources for this page

Verify at the official NPI Registry.