Crystal Evans, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2104014 Issued in AR

Practice address

216 Olive St Ste 210
Texarkana, AR 71854-5932

Phone

(903) 556-9416

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evans' Counseling and Psycho-Educational Firm, Inc

  • Professional Counselor
  • Texarkana, AR
  • NPI 1134801137

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1609336619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 LITTLE RIVER 11",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718228985",
            "telephone_number": "903-276-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 OLIVE ST STE 210",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545932",
            "telephone_number": "903-556-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718523925",
            "country_code": "US",
            "telephone_number": "870-455-0134",
            "fax_number": "870-277-2230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Highway 27 S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718528874",
            "country_code": "US",
            "telephone_number": "903-556-9416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CRYSTAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1903040",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2104014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eh Home Health of East Texas, LLC
• Elara Caring PCS Ar LLC
• Hayden Ellis, DDS
• Randall A. Ellis, D.D.S.
• Sedrick L Ervin, MHPP
• Evans' Counseling and Psycho-Educational Firm, Inc
• Patrick Ezihe, PHARM D
• Kaiyang Feng, DO
• Amber Rachelle Ferguson
• Shauna Noel Ferland

• Professional Counselor in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.