Individual provider Active NPI

Krystal Humphrey, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1861745341
Registry record updated Oct 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66339 Issued in TX
Practice address
1202 Seagler Rd Apt 87
Houston, TX 77042-2070
Phone
(832) 496-3349
NPI assigned
Oct 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2012

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 66339 TX Primary

Addresses

Primary practice location

1202 Seagler Rd Apt 87
Houston, TX 77042-2070

Mailing address

1202 Seagler Rd Apt 87
Houston, TX 77042-2070
Phone (832) 496-3349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000955 TX Practitioner - Mental Health Counselor 6103266085 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC Professional CurrentSince Jun 27, 2024 Accepting new patients
Imani Medical Transportation LLC Current Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 13, 2024 Accepting new patients
Deep Centered Psychiatry PLLC CurrentSince Apr 17, 2024 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Apr 17, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

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

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

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

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350691200000",
    "number": "1861745341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SEAGLER RD APT 87",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422070",
            "telephone_number": "832-496-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SEAGLER RD APT 87",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422070",
            "telephone_number": "832-496-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "KRYSTAL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-20",
        "last_updated": "2012-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.