Rebecca Ann Crystal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50120 Issued in TX

Practice address

804 Pecan Grove Rd E
Child and Family Guidance Center
Sherman, TX 75090-1767

Phone

(903) 893-7768

Fax

(903) 893-4979

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebecca Ann Jirak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Child and Family Guidance Center of Texoma

  • Mental Health Counselor
  • Sherman, TX
  • NPI 1659336345

  Clinical

  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1972643740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PECAN GROVE RD E",
            "address_2": "CHILD AND FAMILY GUIDANCE CENTER",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901767",
            "telephone_number": "903-893-7768",
            "fax_number": "903-893-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PECAN GROVE RD E",
            "address_2": "CHILD AND FAMILY GUIDANCE CENTER",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901767",
            "telephone_number": "903-893-7768",
            "fax_number": "903-893-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184946501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JIRAK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Michael Cross, PH.D.
• George E. Crosthwaite III, DDS
• John Andrew Crosthwaite, D.D.S.
• CRWZ Enterprises LLC
• Karissa Leigh Cryer, D.O.
• Delva M. Culp, M.A., CCC
• Cherry Larson Cunningham, LPC
• Katie Amanda Curington
• Matthew Todd Cutler, LVN
• CVS Pharmacy Inc

• Clinical Social Worker in Sherman, TX
• Providers in Sherman, 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 Jul 22, 2008; 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.