ANITA SMULLIN


Address: 120 N Walkup Ave, Crystal Lake, IL 60014-4355
Phone: 8159051029

ANITA SMULLIN (NPI# 1508225400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508225400
Entity Type Individual
Full Name ANITA SMULLIN
Credential LCPC
Practice Address 120 N Walkup Ave
Crystal Lake
IL 60014-4355
Mailing Address 961 Ridgewood Ln
Crystal Lake
IL 60014-8381
Practice Telephone 8159051029
Mailing Telephone (815) 905-1029
Enumeration Date 2016-02-19
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180010956 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
214 N Main St, Algonquin, IL 601022449 8478544333

Office Location

Street Address 120 N WALKUP AVE
City CRYSTAL LAKE
State IL
Zip Code 60014-4355

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497394720 Lorelei Mariano Physical Therapist 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 2020-01-03
1396227070 Behavioral Services for Autism, Inc Behavioral Analyst 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 2018-08-30
1831635564 Isis Mendoza-garnica Counselor 6803 Rose Ave, Crystal Lake, IL 60014 2017-01-19
1134664402 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 2016-12-22
1306394051 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 177 W Virginia Street, Crystal Lake, IL 60014 2016-09-12
1124492830 Align Spine & Orthopaedics Durable Medical Equipment & Medical Supplies 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 2015-11-18
1558747428 Shabana Nawaz Optometrist 4777 Northwest Highway, Crystal Lake, IL 60014 2015-08-03
1548649205 Daniel Okon Social Worker 304 Charllote Ave, Crystal Lake, IL 60014 2015-05-27
1154729838 Crystal Lake Center for Chronic Pain Sc Nurse Practitioner 1 South Northwest Highway, Crystal Lake, IL 60014 2014-12-12
1558763581 Brooke Nicole Grandt Occupational Therapist 394 Heisler Ct, Crystal Lake, IL 60014 2014-09-22
Find all providers in zip 60014

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174163976 Krystyna Janina Wojtowicz Counselor 601 Tamarisk Ln, Crystal Lake, IL 60014-7022 2020-01-09
1801370200 Counseling With Purpose LLC Counselor 7115 Virginia Rd Ste 104, Crystal Lake, IL 60014-3110 2018-09-20
1407343304 Angela Perillo Counselor 5911 Northwest Hwy Ste 207, Crystal Lake, IL 60014-8043 2018-04-16
1700334562 Rebekah Kaider Counselor 800 S Mchenry Ave Ste F, Crystal Lake, IL 60014-7487 2016-09-21
1033574629 Joan M Ryan Counselor 610 N Route 31, Suite E, Crystal Lake, IL 60012 2015-12-23
1073938734 Karen Sullivan Counselor 111 S Virginia St Ste L03, Crystal Lake, IL 60014-5853 2014-03-04
1164720215 Despina Mcbride Counselor 101 N Virginia St Ste 115, Crystal Lake, IL 60014-3446 2011-03-14
1902103815 Laurie Anne Larsen Counselor 2600 Behan Rd Ste E3, Crystal Lake, IL 60014-2224 2011-02-12
1932427275 Sara B. Lemke Counselor 42 East St, Crystal Lake, IL 60014-4400 2010-05-11
1669605473 Mark Anthony Pishotta Counselor 24 Surrey Ln, Crystal Lake, IL 60014-7864 2009-08-26
Find all providers in CRYSTAL LAKE

Competitor

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City CRYSTAL LAKE
Zip Code 60014

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Dataset Information

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.

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