Active NPI
Gayle Sherman Crandell, M.A.
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1982737763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LPCC00068
- Practice address
- 1133 Grand Ave
Saint Paul, MN 55105-2629 - Phone
- (651) 641-0177
- Fax
- (651) 641-8635
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LPCC00068 | MN | Primary |
Addresses
Primary practice location
1133 Grand Ave
Saint Paul, MN 55105-2629
Mailing address
952 Grand Ave
Saint Paul, MN 55105-3014
Phone (612) 819-0556
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC00068 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1982737763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053014",
"telephone_number": "612-819-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052629",
"telephone_number": "651-641-0177",
"fax_number": "651-641-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN CRANDELL",
"first_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LPCC00068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.