Active NPI
Crystal Sheppard, LPC
- Professional Counselor
- Irving, TX
National Provider Identifier
1952971038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65835
- Practice address
- 6740 Verde Apt 303
Irving, TX 75039-3426 - Phone
- (214) 632-1297
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65835 | TX | Primary |
Addresses
Primary practice location
6740 Verde Apt 303
Irving, TX 75039-3426
Mailing address
6740 Verde Apt 303
Irving, TX 75039-3426
Phone (214) 632-1297
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65835 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1952971038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 VERDE APT 303",
"city": "IRVING",
"state": "TX",
"postal_code": "750393426",
"telephone_number": "214-632-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6740 VERDE APT 303",
"city": "IRVING",
"state": "TX",
"postal_code": "750393426",
"telephone_number": "214-632-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "CRYSTAL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.