Crystal Lauren Cheap, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011086 Issued in NC

Practice address

1801 Kingwood Dr Ste 270
Kingwood, TX 77339-2995

Phone

(346) 347-6970

NPI assigned

Nov 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Crystal Lauren Chavez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Phase Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingwood, TX
  • NPI 1104492503
  NPD Authorized official

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1922541226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 KINGWOOD DR STE 270",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392995",
            "telephone_number": "346-347-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 KINGWOOD DR STE 270",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392995",
            "telephone_number": "346-347-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 S Walker St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "28425",
            "country_code": "US",
            "telephone_number": "910-202-5709",
            "fax_number": "910-202-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEAP",
        "first_name": "CRYSTAL",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23373",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccheap@newphasetherapy.com",
            "affiliation": "N",
            "address_1": "1801 Kingwood Dr Ste 270",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773392995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "CHAVEZ",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramakrishna V Chava, M.D.
• Anish Narendra Chavda, DDS
• Geraldine Chavez
• Jose Raul Chavez, LSA
• Chca Woman's Hospital, L.P. (Women's Place of Kingwood, a department of The Woman's Hospital of Texas)
• Albert Chen, M.D.
• Grace An Chen, PA-C
• Peter PO Tao Chen, M.D., PH.D.
• Jenny Berlinda Cherenfant
• Andrea Danielle Cherry, BCBA

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.