Krystal Lewis, LPC, LCDC, MAC, SAP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6314 Issued in TN

Practice address

1001 Pewter CT
Madison, TN 37115-5906

Phone

(931) 255-2418

NPI assigned

May 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Essential Quest LLC

  • Professional Counselor
  • Mart, TX
  • NPI 1457941346

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Jeannette R Brantley

  • Assisted Living Facility
  • Riesel, TX
  • NPI 1407931009
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1629480918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PEWTER CT",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155906",
            "telephone_number": "931-255-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PEWTER CT",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155906",
            "telephone_number": "931-255-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRYSTAL",
        "credential": "LPC, LCDC, MAC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "78459",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12503",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78459",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78459",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leta Kant
• John M Levoy, MD
• Jacquelyn Amera Lewchalermwong, M.D.
• Candyletta Shaunte Lewis
• Jennifer L Lewis, PHARM. D
• Liberty EMS.Inc
• Randy Lillard Jr.
• Lian Je Lin, OTR/L
• Lincare Inc
• Laura A. Kurata Ling

• Professional Counselor in Madison, TN
• Providers in Madison, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.