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Crystal Lauren Smith , BC-DMT, LCPC

Counselor - Professional β€’ Evanston, IL

Active NPI 1417109406 Individual Practitioner Female Practitioner
Practice location in NPPES

636 Church St, Suite 510
Evanston, IL 602014508

Call 7738172797 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

636 Church St
Suite 510

Evanston, IL 602014508

Telephone 7738172797
Organization at the Same NPPES Address or Phone
Evanston Periodontics, Llc Facility NPI 1669499505

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in La Grange Park, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Evanston and Illinois

192 active clinicians are listed under Counselor - Professional with a practice address in Evanston, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Evanston

1.6% of these 192 clinicians have the CMS telehealth indicator.

5.2% of these 192 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180.006725
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

333 N La Grange Rd

La Grange Park, IL 605265646

Phone: 7086985090

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. Paul Bery , DDS

Dentist - Endodontics

NPI 1730225111

Doctor of Dental Surgery

Dr. Anne Chodzko , PhD

Psychologist - Clinical

NPI 1356316939

Doctor of Philosophy (Ph.D.)

NPI 1043384456

Doctor of Dental Surgery

Dr. Paul Fischl , DDS

Dentist - General Practice

NPI 1205904547

Doctor of Dental Surgery

NPI 1609958503

Doctor of Chiropractic

Dr. Robert Hartke , PhD

Psychologist - Counseling

NPI 1255344628

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 11, 2019

Recorded as CRYSTAL SMITH, BC-DMT, LCPC

βœ…
NPI Profile Active October 21, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 21, 2008

Registered at 636 CHURCH ST, SUITE 510, EVANSTON, IL 602014508 (Tel: 7738172797)

πŸ“
Business Mailing Address (Initial Record) October 21, 2008

Registered at 636 CHURCH ST, SUITE 510, EVANSTON, IL 602014508

πŸ‘€
Provider Name / Credentials (Initial Record) October 21, 2008

Recorded as CRYSTAL SMITH, DTR, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2008

Counselor (license number reported to NPPES: IL 180.006725)

🟒
Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417109406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2008
Last Update: June 11, 2019
Sole Proprietor: Yes

Mailing Address

636 Church St, Suite 510

Evanston, IL 602014508

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.