Individual provider Active NPI

Crystal Susette Knoop, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1619523040
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74494 Issued in TX
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

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
74494TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Resources Family Services, Inc. Professional CurrentSince Jan 17, 2021 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.

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.

Verify at the official NPI Registry.