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Active NPI 1417109406 Individual Practitioner Female Practitioner

Crystal Lauren Smith , BC-DMT, LCPC

Counselor - Professional • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Crystal Smith, BC-DMT, LCPC is a registered healthcare professional specializing in Counselor - Professional in Evanston, IL. Practice services are available at 636 CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

636 Church St
Suite 510

Evanston, IL 602014508

Telephone 7738172797
Associated Practice Facility / Clinic
🏢 Evanston Periodontics, Llc Facility NPI 1669499505

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
198 Specialists

Practicing in Evanston, IL (9683 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.006725

Definition to come...

Secondary Practice Locations

333 N La Grange Rd

La Grange Park, IL 605265646

Phone: 7086985090

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sheila Culkin , PhD

Psychologist - Clinical

NPI 1013040856

Doctor of Philosophy (Ph.D.)

Amy Owen

Counselor - Professional

NPI 1033625603
NPI 1043384456

Doctor of Dental Surgery

Barbara England , LCSW

Social Worker - Clinical

NPI 1043396369

Licensed Clinical Social Worker

Laura Gossin , MS, LMFT

Marriage & Family Therapist

NPI 1043563604

Master of Science, Licensed Marriage and Family Therapist

Dr. Nancy Jensen , PhD

Psychologist - Clinical

NPI 1053441139

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 11, 2019

Recorded as CRYSTAL SMITH, BC-DMT, LCPC

NPI Profile Active October 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2008

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

📍
Updated Business Mailing Address October 21, 2008

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

👤
Provider Name / Credentials Updated October 21, 2008

Recorded as CRYSTAL SMITH, DTR, LCPC

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

Counselor (License #180.006725 in IL)

🟢
Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.