Christopher Gabriel Krell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60759 Issued in TX

Practice address

133 SE Macon St
Madison, FL 32340-2986

Phone

(850) 464-3725

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Rankin Baptist Association

  dba Rankin Baptist Association DBA Crossroads Counseling Center

  • Counselor
  • Pearl, MS
  • NPI 1114962560
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1881222313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SE MACON ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402986",
            "telephone_number": "850-464-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SE MACON ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402986",
            "telephone_number": "850-464-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 SW Meeting Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "FL",
            "postal_code": "323402024",
            "country_code": "US",
            "telephone_number": "850-464-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Jones, MSW
• Priscilla Michelle Jones
• Kristen Charmaine Kennedy
• Tamera Reshonda King, BSN, RN
• Chase Knight
• L a D S Co. of North Florida (Norris Medical Compounding Lab)
• Lake Park Nursing & Rehab Center LLC
• Lake Park of Madison, LLC (Lake Park of Madison)
• Lake Park Operations, LLC
• Logan G Langley, PA-C

• Professional Counselor in Madison, FL
• Providers in Madison, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.