Kristal Clayton Chambers, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4174 Issued in LA

Practice address

8921 Mansfield Rd
Shreveport, LA 71118-2144

Phone

(318) 626-7143

Fax

(318) 626-7143

NPI assigned

Dec 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Assured Behavioral Concepts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1104168566

  Professional

  NPD Authorized official
• Assured Case Management Services

  • Early Intervention Provider Agency
  • Shreveport, LA
  • NPI 1578204244
  NPD Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1740558667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182144",
            "telephone_number": "318-626-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182144",
            "telephone_number": "318-626-7143",
            "fax_number": "318-626-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2912 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711084934",
            "country_code": "US",
            "telephone_number": "318-572-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KRISTAL",
        "middle_name": "CLAYTON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uday Kumar Chalwadi
• Elizabeth Ashton Chamberlin
• David Maurice Chambers, M.D.
• Denicholas Chambers
• Jennifer Chambers
• Tina Nicole Chambers
• Dwan Trichelle Chambliss
• Azem Chami
• Rajan Chamlagain
• Kristin Champagne

• All providers in Shreveport, LA
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.