CRYSTAL CARROLL (NPI# 1740413442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740413442 |
| Entity Type | Individual |
| Full Name | CRYSTAL CARROLL |
| Credential | MA |
| Practice Address |
323 W Mulberry St Watseka IL 60970-1568 |
| Practice Telephone | 8154325241 |
| Practice Fax Number | 8154324537 |
| Mailing Telephone | 8154325241 |
| Mailing Fax Number | 8154324537 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912451089 | Crystal Elaine Carroll | Nurse's Aide | 826 E Rio Grande St, Colorado Springs, CO 80903-4559 | 2016-08-06 |
| 1093322968 | Crystal Ann Carroll | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-25 |
| 1336615087 | Crystal R Carroll | Behavior Technician | 8801 Folsom Blvd Ste 265, Sacramento, CA 95826-3250 | 2018-10-21 |
| 1124497078 | Crystal Carroll | Licensed Vocational Nurse | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-09-22 |
| 1194160366 | Crystal Marie Carroll | Counselor | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2013-05-01 |
| Street Address |
323 W MULBERRY ST |
| City | WATSEKA |
| State | IL |
| Zip Code | 60970-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261534 | Evan M Lerman | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2006-07-22 |
| 1144821729 | Tamra Kuester | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-11-02 |
| 1578179024 | Diane Barber | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-09-21 |
| 1174139638 | Taylor Sanders | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-09-21 |
| 1699381145 | Rachel Webb | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-09-21 |
| 1992311740 | Elizabeth Lopez | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-09-17 |
| 1831708056 | Melissa Pasierb | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-07-23 |
| 1700404217 | Kelcie Stewart | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-07-10 |
| 1023636537 | Margaret Ullrich | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-07-10 |
| 1346867660 | Jill Erickson | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2020-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
| 1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
| 1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
| 1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
| 1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
| 1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
| 1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
| Find all providers in zip 60970 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962651463 | Kristen Lang | Psychologist | 323 W Mulberry St, Watseka, IL 60970-1568 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
| 1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
| 1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
| 1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
| 1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
| 1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
| 1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
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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.