Individual provider Active NPI

Kristy Danielle Crabtree, LPC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1932548914
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-14256 Issued in AZ
Practice address
625 N Gilbert Rd Ste 204
Gilbert, AZ 85234-4724
Phone
(805) 795-6477
Fax
(480) 813-2987
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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 LPC-14256 AZ Primary

Addresses

Primary practice location

625 N Gilbert Rd Ste 204
Gilbert, AZ 85234-4724

Mailing address

4235 E Lexington Ave
Gilbert, AZ 85234-0729
Phone (805) 795-6477

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

State licenses

LicenseStateTypeSpecialty
LPC-14256AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innerlight Counseling Professional CurrentSince Aug 30, 2020 Accepting new patients

Locations

625 N Gilbert Rd
Ste 204
Gilbert, AZ 85234
Phone (480) 477-3203

Organizations & group practices 1

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": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1932548914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 E LEXINGTON AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340729",
            "telephone_number": "805-795-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N GILBERT RD STE 204",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344724",
            "telephone_number": "805-795-6477",
            "fax_number": "480-813-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "KRISTY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-14256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.