CRYSTAL EVANS (NPI# 1073149332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073149332 |
| Entity Type | Individual |
| Full Name | CRYSTAL EVANS |
| Credential | LCDC |
| Practice Address |
2220 Austin Ave Waco TX 76701-1625 |
| Mailing Address |
Po Box 890 Waco TX 76703-0890 |
| Practice Telephone | 2547523451 |
| Mailing Telephone | 2547523451 |
| Mailing Fax Number | 2547563133 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13288 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801424445 | Crystal Evans | Home Health Aide | 5745 Eaglesridge Ln, Cincinnati, OH 45230-1387 | 2020-03-30 |
| 1790297802 | Crystal Ann Evans | Counselor | 1390 Valley Rd Ste 1b, Stirling, NJ 07980-1346 | 2017-10-30 |
| 1003048299 | Crystal Rose Evans | Counselor | 138 East Boundary Street, Browning, MT 59417 | 2009-08-20 |
| 1174550966 | Crystal Lee Evans | Specialist/Technologist | 3876 Highway 90, Pace, FL 32571-1095 | 2006-06-27 |
| 1609473073 | Crystal Dominique Evans | Pharmacist | 5901 U S Highway 49, Hattiesburg, MS 39402-2858 | 2020-10-07 |
| 1396395695 | Crystal Lynn Evans | Social Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-09-18 |
| 1609336619 | Crystal Evans | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-03-25 |
| 1821574930 | Crystal Evans | Licensed Vocational Nurse | 4099 Mcewen Rd Ste 200, Farmers Branch, TX 75244-5050 | 2018-07-12 |
| 1750810453 | Crystal Whitley Evans | Nurse Practitioner | 915 Tate Blvd Se, Hickory, NC 28602-4042 | 2017-06-06 |
| 1871030676 | Crystal Evans | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2017-01-31 |
| Street Address |
2220 AUSTIN AVE |
| City | WACO |
| State | TX |
| Zip Code | 76701-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407224199 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 2220 Austin Ave, Waco, TX 76701-1625 | 2015-09-11 |
| 1568083186 | Cheryl Barajas | Counselor | 2220 Austin Ave, Waco, TX 76701-1625 | 2020-05-05 |
| 1639705700 | Deborah S Davis | Counselor | 2220 Austin Ave, Waco, TX 76701-1625 | 2020-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1740680750 | Kayleigh Anderson | Counselor | 110 S 12th St, Waco, TX 76701 | 2014-08-27 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1407972581 | Sarah S. Allen | Marriage & Family Therapist | 110 S 12th St, Waco, TX 76701 | 2007-03-21 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| Find all providers in zip 76701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1629604186 | Lisa Grady | Counselor | 2010 Lasalle Ave, Suite A, Waco, TX 76706 | 2020-03-17 |
| 1508405267 | Linda Owen | Counselor | 404 Ruby Dell Ln, Waco, TX 76705-1251 | 2019-12-29 |
| 1982101127 | Bruce Alan Cooper | Counselor | 1013 Rambler Dr, Waco, TX 76710-4049 | 2018-04-12 |
| 1316481088 | Laura Whisman Abbruzzese | Counselor | 100 N 6th St Ste 305, Waco, TX 76701-2032 | 2016-12-14 |
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1710104013 | Cotii Nanette Huggins | Counselor | 1401 Columbus Ave, Waco, TX 76701-1120 | 2007-04-19 |
| 1881811933 | Kelly R Foley | Counselor | 2505 Washington Ave, Waco, TX 76710-7446 | 2007-04-19 |
| 1245351261 | Dana Lafayette | Counselor | 4300 W Waco Dr, Ste B-2 #220, Waco, TX 76710-7010 | 2007-04-03 |
| 1073621595 | Amy Walker Smith | Counselor | 1105 Wooded Acres Dr, Ste. 270, Waco, TX 76710-4468 | 2006-08-25 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.