Individual provider Active NPI

Christyn Eve Jaap

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1821667957
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79804 Issued in TX
Practice address
911 W Loop 281 Ste 316
Longview, TX 75604-2930
Phone
(903) 261-5114
NPI assigned
Jun 22, 2021
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 79804 TX Primary

Addresses

Primary practice location

911 W Loop 281 Ste 316
Longview, TX 75604-2930

Mailing address

911 W Loop 281 Ste 316
Longview, TX 75604-2930
Phone (903) 261-5114

Other practice location 1

1700 Covemeadow Dr
Arlington, TX 76012-5407
Phone (903) 452-2132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240627000351 TX Practitioner - Mental Health Counselor 4880138247 Reassigns benefits to 3 organizations
I20250207000453 WI Practitioner - Mental Health Counselor 4880138247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince May 21, 2024 Accepting new patients
Oak Bridge Counseling, PLLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

911 W Loop 281
Ste 21115
Longview, TX 75604
Phone (903) 261-5114

911 W Loop 281
Ste 316
Longview, TX 75604
Phone (903) 261-5114

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1821667957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W LOOP 281 STE 316",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042930",
            "telephone_number": "903-261-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W LOOP 281 STE 316",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042930",
            "telephone_number": "903-261-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Covemeadow Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760125407",
            "country_code": "US",
            "telephone_number": "903-452-2132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAAP",
        "first_name": "CHRISTYN",
        "middle_name": "EVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.