Organization Active NPI

Healing Space Therapy LLC

  • Professional Counselor
  • Temple, TX
National Provider Identifier
1962399311
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEALING SPACE THERAPY LLC
Practice address
2008 Collard CT
Temple, TX 76502-7468
Phone
(307) 274-2693
NPI assigned
Jun 19, 2025
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Crystal Danielle Ingram, LPCNPI 1518662683
Title
Owner/LPC
Phone
(307) 206-5244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

2008 Collard CT
Temple, TX 76502-7468

Mailing address

2008 Collard CT
Temple, TX 76502-7468
Phone (307) 206-5244

Other practice location 1

1861 Breck Ave
Casper, WY 82601-5002
Phone (307) 206-5244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260604004112 TX Part B Supplier - Clinic/Group Practice 8628549185 Receives reassigned benefits from 1 practitioner
Practice locations: Temple, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1962399311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 COLLARD CT",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027468",
            "telephone_number": "307-206-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 COLLARD CT",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027468",
            "telephone_number": "307-274-2693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1861 Breck Ave",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826015002",
            "country_code": "US",
            "telephone_number": "307-206-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING SPACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "307-206-5244",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.