Krystal T. Simmons, LSSP, NCSP, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36257 Issued in TX

Practice address

2130 Harvey Mitchell Pkwy S
Suite 11112
College Station, TX 77840-5103

Phone

(832) 800-3449

NPI assigned

Jan 20, 2013

Last updated

Aug 23, 2016By 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 2

Addresses

Other names 1

• Dr. Krystal T. Cook Former name

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.

• Gateway Consulting and Psychological Services

  • Psychologist
  • Lake Jackson, TX
  • NPI 1033632971
  NPD Authorized official
• Gateway Consulting and Psychological Services, PLLC

  • Psychologist
  • Bellaire, TX
  • NPI 1952212557
  Authorized official Same address or phone
• Lemon Frazier Psychological Services

  dba Psychology Works

  • Clinical Psychologist
  • Lake Jackson, TX
  • NPI 1023462314
  NPD (past)

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

{
    "created_epoch": "1358640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1588902969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HARVEY MITCHELL PKWY S",
            "address_2": "SUITE 11112",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405103",
            "telephone_number": "832-800-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HARVEY MITCHELL PKWY S",
            "address_2": "SUITE 11112",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405103",
            "telephone_number": "832-800-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KRYSTAL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "LSSP, NCSP, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-20",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36257",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "34572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "COOK",
            "middle_name": "T.",
            "prefix": "DR.",
            "credential": "LSSP, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amie Lynn Shird, LVN
• Yolanda Shivers, LVN
• Mimi M Sicilio, BS IN PT
• Melissa Silva
• Alden Lane Simmons, DPM
• Troy D. Simon, M.D.
• Amber Simpson
• Rajpreet Kaur Singh, D.O.
• Ranjodh Singh, DO
• Tiffany Ann Skaggs, MD

• Psychologist in College Station, TX
• Providers in College Station, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.