Veterans Affairs

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

VETERANS AFFAIRS

Practice address

1201 East 9TH Street
Bonham, TX 75418

Phone

(903) 583-6411

Fax

(903) 583-6687

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Eugene Cryst, LCDC

Title

Addiction Therapist

Phone

(903) 583-6411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1609125947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 9TH ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184059",
            "telephone_number": "903-583-6411",
            "fax_number": "903-583-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EAST 9TH STREET",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "75418",
            "telephone_number": "903-583-6411",
            "fax_number": "903-583-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "CRYST",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ADDICTION THERAPIST",
        "authorized_official_telephone_number": "903-583-6411",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Bonham, TX
• Providers in Bonham, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.