Crystal Wade, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1216753 Issued in TX

Practice address

214 Kimberly Dr
Converse, TX 78109-1530

Phone

(210) 570-0214

NPI assigned

Apr 16, 2025

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crystal Clear Mental Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Converse, TX
  • NPI 1023927266
  NPD (past) Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1548056542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KIMBERLY DR",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091530",
            "telephone_number": "210-570-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KIMBERLY DR",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091530",
            "telephone_number": "210-570-0214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4204 Gardendale St Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293138",
            "country_code": "US",
            "telephone_number": "210-334-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "CRYSTAL",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1216753",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "1015357",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "913829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus R Tregeagle, DDS
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• Under the Sea Children's Dentistry, P.C
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-4056)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5144)
• Wal-Mart Stores Texas, LP (Vision Center 30-5144)
• Walgreen Co (Walgreens #03083)
• Walgreen Co (Walgreens #01194)

• Psychiatric/Mental Health Nurse Practitioner in Converse, TX
• Providers in Converse, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.