Individual provider Active NPI

Christina Lynn Schultz, LISW

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1578873980
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007603 Issued in IA
Practice address
2710 Saint Francis Dr Ste 210
Waterloo, IA 50702-5664
Phone
(319) 272-5000
Fax
(319) 272-5282
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007603 IA Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 210
Waterloo, IA 50702-5664

Mailing address

2710 Saint Francis Dr Ste 210
Waterloo, IA 50702-5664
Phone (319) 272-5000

Other identifiers 1

IdentifierTypeStateIssuer
1578873980MedicaidIA

Other names 1

  • Christina Lynn Crow Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1578873980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 210",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025664",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 210",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025664",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "007603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578873980",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "CROW",
            "middle_name": "LYNN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.