Active NPI
Crystal Susette Knoop, LPC
- Professional Counselor
- Corpus Christi, TX
National Provider Identifier
1619523040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74494
- Practice address
- 5151 Flynn Pkwy
Suite 100
Corpus Christi, TX 78411 - Phone
- (361) 446-0646
- Fax
- (361) 452-3180
- NPI assigned
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74494 | TX | Primary |
Addresses
Primary practice location
5151 Flynn Pkwy
Suite 100
Corpus Christi, TX 78411
Mailing address
2838 Panay Drive
Corpus Christi, TX 78418
Phone (361) 877-4982
Other names 1
- Ms. Crystal Susette Hubbard
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74494 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Resources Family Services, Inc. | Professional | Current | Accepting new patients |
Locations
5151 Flynn Pkwy
Ste 100
Corpus Christi, TX 78411
Phone (361) 446-0646
Organizations & group practices 1
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.
-
- Professional Counselor
- Corpus Christi, TX
- NPI 1609236330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1619523040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 PANAY DRIVE",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78418",
"telephone_number": "361-877-4982",
"fax_number": "361-452-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 FLYNN PKWY",
"address_2": "SUITE 100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78411",
"telephone_number": "361-446-0646",
"fax_number": "361-452-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOOP",
"first_name": "CRYSTAL",
"middle_name": "SUSETTE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "HUBBARD",
"middle_name": "SUSETTE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.