CRYSTAL LAUREN SMITH (NPI# 1417109406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417109406 |
| Entity Type | Individual |
| Full Name | CRYSTAL LAUREN SMITH |
| Credential | BC-DMT, LCPC |
| Practice Address |
636 Church St Suite 510 Evanston IL 60201-4508 |
| Practice Telephone | 7738172797 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.006725 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 N La Grange Rd, La Grange Park, IL 605265646 | 7086985090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548724974 | Crystal K Smith | Adult Companion | 508 64th Ave E, Bradenton, FL 34203-7643 | 2019-01-30 |
| 1619499647 | Crystal Marie Smith | Nurse Practitioner | 2401 Brandermill Blvd Ste 310, Gambrills, MD 21054-1604 | 2017-07-12 |
| 1699147322 | Crystal P Smith | Occupational Therapy Assistant | 4217 Peppertree Ave, Concord, NC 28027-7670 | 2015-10-21 |
| 1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
| 1386076602 | Crystal Eva Smith | Counselor | 1900 Kinmount Dr, Lake Orion, MI 48359-1639 | 2013-08-09 |
| 1255661807 | Crystal Irene Smith | Physical Therapist | 801 Carrington Ave, Capitol Heights, MD 20743-1846 | 2010-01-04 |
| 1790852846 | Crystal D Smith | Counselor | 520 Mount Rose St, Reno, NV 89509-3362 | 2006-11-30 |
| 1831175769 | Crystal Jo Smith | Dentist | Bldg 38801 Academic Dr, Suite B & C, Ft Gordon, GA 30905-5660 | 2005-12-22 |
| 1679172340 | Crystal Elizabeth Smith | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-22 |
| 1144837808 | Crystal Smith | Homemaker | 103 W 5th Ave, Ranson, WV 25438-1405 | 2020-09-28 |
| Street Address |
636 CHURCH ST SUITE 510 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162870 | Michael England | Psychologist | 636 Church St, Ste 508, Evanston, IL 60201-4508 | 2005-05-31 |
| 1275184012 | Caitlyn Dawn Platzner | Marriage & Family Therapist | 636 Church St, Evanston, IL 60201-4508 | 2019-09-23 |
| 1699215632 | Shruti Patel | Counselor | 636 Church St, 510, Evanston, IL 60201-4508 | 2017-02-23 |
| 1821545047 | Mimi Landau, Inc | Counselor | 636 Church St, Suite 710, Evanston, IL 60201-4508 | 2016-09-06 |
| 1548614969 | Leanna Schneider | Social Worker | 636 Church St, Suite 515, Evanston, IL 60201-4508 | 2016-04-21 |
| 1194185496 | Graston-grotheer Counseling Inc | Social Worker | 636 Church St, Ste 419b, Evanston, IL 60201-4508 | 2016-02-29 |
| 1700243086 | Dubois Counseling, PC | Social Worker | 636 Church St, Suite 615, Evanston, IL 60201-4508 | 2016-01-18 |
| 1649644071 | Polina Reyngold, Ltd | Counselor | 636 Church St, Suite 515, Evanston, IL 60201-4508 | 2015-11-23 |
| 1912379553 | Jessica Towsky | Psychologist | 636 Church St, Suite 515, Evanston, IL 60201-4508 | 2015-10-22 |
| 1932501632 | Mayo Audiology, LLC | Audiologist | 636 Church St, 307, Evanston, IL 60201-4508 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1114538329 | Peggy Rubenstein | Counselor | 826 Judson Ave Apt 3, Evanston, IL 60202-2462 | 2020-08-11 |
| 1831708304 | Alison Toback, Lcpc | Counselor | 708 Church St Ste 221, Evanston, IL 60201-3840 | 2020-07-30 |
| 1306466644 | Hedy Helfand | Counselor | 211 Dewey Ave, Evanston, IL 60202-3713 | 2020-04-16 |
| 1912532672 | Lora Slutsky | Counselor | 2020 Dempster St, Evanston, IL 60202-1017 | 2020-03-03 |
| 1740813021 | Shairee Lackey | Counselor | 1206 Pitner Ave, Evanston, IL 60202-1049 | 2020-02-15 |
| 1013568989 | Peter Agostino | Counselor | 1327 Ashland Ave Apt 1, Evanston, IL 60201-6805 | 2019-09-23 |
| 1891357356 | Amy Owen Counseling LLC | Counselor | 708 Church St Ste 219, Evanston, IL 60201-3881 | 2019-07-05 |
| 1265906028 | Monica Isaac | Counselor | 708 Church St Ste 217, Evanston, IL 60201-3881 | 2019-01-15 |
| 1801366364 | Kaitlyn Whitebread | Counselor | 726 Hinman Ave Apt 2e, Evanston, IL 60202-2570 | 2018-11-27 |
| Find all providers in EVANSTON | ||||
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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.