Crystal Shay Kitchen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74671 Issued in TX

Practice address

400 Mann St Ste 115
Corpus Christi, TX 78401-2046

Phone

(361) 206-1402

NPI assigned

Mar 24, 2020

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

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1801423512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 JOHN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784072306",
            "telephone_number": "361-206-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MANN ST STE 115",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012046",
            "telephone_number": "361-206-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "CRYSTAL",
        "middle_name": "SHAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2022-10-10",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Kirkham, MD
• Kathryn Lee Kirkland, M.D.
• Stephanie Ann Kirsch, PA
• Blake James Kissane, DO
• Carly Kissinger
• Burton A Kittay, PHD.
• Gerald D Kizerian, PHD
• Klair Medical PLLC
• Samantha Klassen, LPC
• Jamie Diane Klemenhagen, MA, LMFT

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.