Individual provider Active NPI

Crystal Alexia Jeffrey, LCDC

  • Counselor
  • Houston, TX
National Provider Identifier
1548724404
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
13042 Issued in TX
Practice address
6201 Bonhomme Rd Ste 174N
Houston, TX 77036-4367
Phone
(832) 864-3347
Fax
(833) 241-7558
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13042 TX
Counselor 101Y00000X 13042 TX Primary
Case Manager/Care Coordinator 171M00000X
Adult Mental Health Clinic/Center 261QM0850X TX
Case Management Agency 251B00000X TX

Addresses

Primary practice location

6201 Bonhomme Rd Ste 174N
Houston, TX 77036-4367

Mailing address

16714 Sidonie Dr
Houston, TX 77053-2562
Phone (832) 721-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Counseling Service, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Divine Counseling Services Adult Mental Health CurrentSince May 11, 2025 Accepting new patients
Divine Favor Transitional Living Facility Addiction (Substance Use Disorder) CurrentSince Nov 19, 2023 Accepting new patients

Locations

6201 Bonhomme Rd
Ste 174N
Houston, TX 77036
Phone (832) 864-3347

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1548724404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16714 SIDONIE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770532562",
            "telephone_number": "832-721-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 174N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364367",
            "telephone_number": "832-864-3347",
            "fax_number": "833-241-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "CRYSTAL",
        "middle_name": "ALEXIA",
        "name_prefix": "Mrs.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13042",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "13042",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.