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MYSTIC D CRENSHAW
NPI 1366740680
Counselor in Broken Arrow, OK

Active since March 10, 2011
3100 S ELM PL STE B, BROKEN ARROW, OK 74012(918) 286-2535(918) 286-7693 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mystic D Crenshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC D CRENSHAW (NPI 1366740680) is an individual counselor in Broken Arrow, Oklahoma and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1366740680
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMYSTIC D CRENSHAW
Location Address3100 S ELM PL STE BBroken Arrow, OK 74012-7950
Mailing Address1008 N Cherokee AveClaremore, OK 74017-5839 · (918) 798-5326
Phone(918) 286-2535
Fax(918) 286-7693
Sole ProprietorNo
Enumeration DateMarch 10, 2011
✔ NPI 1366740680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3100 S ELM PL STE B, Broken Arrow, OK 74012
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRADLEY RAY BOLIN BS
Counselor
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535
MRS. REGINA LYNNE CARRELS BS, PSRS
Counselor (Mental Health)
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535
MRS. KAREN LARISSA WILLIAMS APRN
Nurse Practitioner (Acute Care)
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 884-7800
MR. RALPH EDWARD JOHNSON JR.
Counselor
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535
KAREN V WELTER LPC
Counselor (Professional)
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535
ELIZABETH ANNE EDWARDS SVETLIC LCSW
Social Worker (Clinical)
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535
ASHLEY C BELL B.S., PSRS
Counselor (Mental Health)
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535
KELLY STANDINGWATER
Counselor
3100 S ELM PL STE B
BROKEN ARROW, OK 74012
Tulsa County (918) 286-2535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mystic Crenshaw's NPI number?

The NPI number for Mystic Crenshaw is 1366740680. It was assigned to this individual provider in the NPPES registry on March 10, 2011.

Where is Mystic Crenshaw located?

Mystic Crenshaw practices at 3100 S Elm Pl Ste B, Broken Arrow, OK 74012. The listed phone number is (918) 286-2535.

What is Mystic Crenshaw's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mystic Crenshaw was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.