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Active NPI 1184010357 Individual Practitioner Female Practitioner

Chrystal L Shoup

Counselor - Professional • Hamden, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Chrystal Shoup is a certified Counselor - Professional practicing in Hamden, CT. With approximately 11 years of clinical experience since completing medical education in 2015, Chrystal Shoup delivers high-quality medical care to the local community at 2911 DIXWELL AVE STE 5.

Chrystal Shoup accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2911 Dixwell Ave Ste 5

Hamden, CT 065183195

Telephone 8609879704
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Hamden, CT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -0.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Hamden, CT (2870 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shoup (11 Years) 11 Yrs
Hamden Specialty Average (11.2 Years) 11.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 09, 2024

Registered at 2911 DIXWELL AVE STE 5, HAMDEN, CT 065183195 (Tel: 8609879704)

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2015

Registered at 50 BROOKSIDE RD, WATERBURY, CT 067081402 (Tel: 8609879704)

📍
Updated Business Mailing Address April 14, 2015

Registered at 50 BROOKSIDE RD, WATERBURY, CT 067081402 (Tel: 8609879704)

👤
Provider Name / Credentials Updated April 14, 2015

Recorded as CHRYSTAL SHOUP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Counselor

🟢
Initial NPI Registration & Enumeration April 14, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184010357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2015
Last Update: August 09, 2024
Sole Proprietor: No

Mailing Address

50 Brookside Rd

Waterbury, CT 067081402

Phone: 8609879704

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.