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Mystic Crenshaw
NPI 1366740680 · Counselor · Broken Arrow, OK
Mystic Crenshaw is a Counselor provider in Broken Arrow, OK (NPI 1366740680).
Provider details
- NPI number
- 1366740680
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3100 S Elm Pl Ste B
Broken Arrow, OK 74012-7950
Phone: (918) 286-2535
Fax: (918) 286-7693
Street-level locationGet directions
Mailing address
1008 N Cherokee Ave
Claremore, OK 74017-5839
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2011-03-10
Frequently asked questions
- What is Mystic Crenshaw's NPI number?
- Mystic Crenshaw's National Provider Identifier (NPI) is 1366740680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mystic Crenshaw's specialty?
- Mystic Crenshaw is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Mystic Crenshaw located?
- Mystic Crenshaw's practice location on file with NPPES is 3100 S Elm Pl Ste B, Broken Arrow, OK 74012-7950.
- What is Mystic Crenshaw's phone number?
- The practice phone number listed in the NPPES registry for Mystic Crenshaw is (918) 286-2535.
- Is Mystic Crenshaw's NPI active?
- Yes — Mystic Crenshaw's NPI (1366740680) is active in the NPPES registry as of the last update on 2011-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.