Individual provider Active NPI

Krystal Mae Shipps, MA, T-LPC

  • Counselor
  • Overland Park, KS
National Provider Identifier
1851806830
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
03441-LCPC Issued in KS
Practice address
7133 W. 95TH St., Suite 216
Overland Park, KS 66212
Phone
(816) 200-7626
Fax
(816) 200-7626
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 03441-LCPC KS Primary

Addresses

Primary practice location

7133 W. 95TH St., Suite 216
Overland Park, KS 66212

Mailing address

10925 Antioch Rd Ste 200
Overland Park, KS 66210-2119
Phone (816) 200-7626

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
03441-LCPCKSMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1851806830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 ANTIOCH RD STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102119",
            "telephone_number": "816-200-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 W. 95TH ST., SUITE 216",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "telephone_number": "816-200-7626",
            "fax_number": "816-200-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPS",
        "first_name": "KRYSTAL",
        "middle_name": "MAE",
        "credential": "MA, T-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "03441-LCPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

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