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Krystal Ann Smith

Counselor - Professional β€’ Huntley, IL

Active NPI 1487101564 Individual Practitioner Female Practitioner
Practice location in NPPES

12151 Regency Pkwy Ste 12169
Huntley, IL 601427644

Call 8153318768 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

12151 Regency Pkwy Ste 12169

Huntley, IL 601427644

Telephone 8153318768
Fax 8153318760
Organization at the Same NPPES Address or Phone
The Tabor Therapy Group, Inc Facility NPI 1003435934

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

NPI first issued

2016

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 Huntley and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

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

Self-certified to NPPES: 2022-11-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178.018264
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

Clinicians Sharing This Practice Address or Phone

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

1 listed
Gayle Saturday , LCSW

Counselor - Mental Health

NPI 1699783803

Licensed Clinical Social Worker

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location November 14, 2022

Registered at 12151 REGENCY PKWY STE 12169, HUNTLEY, IL 601427644 (Tel: 8153318768)

πŸ“
Updated Business Mailing Address November 14, 2022

Registered at 12151 REGENCY PKWY STE 12169, HUNTLEY, IL 601427644 (Tel: 8153318768)

πŸ‘€
Provider Name / Credentials Updated November 14, 2022

Recorded as KRYSTAL SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2022

Counselor (license number reported to NPPES: IL 178.018264)

πŸ“
Updated Practice Location August 31, 2022

Registered at 1500 E LINCOLN HWY STE 1, DEKALB, IL 601153990 (Tel: 7792800810)

πŸ“
Updated Business Mailing Address August 31, 2022

Registered at 1500 E LINCOLN HWY STE 1, DEKALB, IL 601153990 (Tel: 7792800810)

βœ…
NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 06, 2016

Registered at 651 STRANDER BLVD # B-110, TUKWILA, WA 981882943 (Tel: 2538502500)

πŸ“
Business Mailing Address (Initial Record) September 06, 2016

Registered at 651 STRANDER BLVD # B-110, TUKWILA, WA 981882943 (Tel: 2538502500)

πŸ‘€
Provider Name / Credentials (Initial Record) September 06, 2016

Recorded as KRYSTAL SAMPSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2016

Counselor

🟒
Initial NPI Registration & Enumeration September 06, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487101564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2016
Last Update: November 14, 2022
Sole Proprietor: No

Mailing Address

12151 Regency Pkwy Ste 12169

Huntley, IL 601427644

Phone: 8153318768

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.