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Active NPI 1487101564 Individual Practitioner Female Practitioner

Krystal Ann Smith

Counselor - Professional • Huntley, IL

Professional Overview & Biography Verified Profile Summary

Krystal Smith is a registered healthcare professional specializing in Counselor - Professional in Huntley, IL. Practice services are available at 12151 REGENCY PKWY STE 12169 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12151 Regency Pkwy Ste 12169

Huntley, IL 601427644

Telephone 8153318768
Fax 8153318760
Associated Practice Facility / Clinic
🏢 The Tabor Therapy Group, Inc Facility NPI 1003435934

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Huntley, IL

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

Practicing in Huntley, IL (9683 Statewide)

Telehealth Adoption Rate
16.7% 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

CMS Verified: 2022-11-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178.018264

Definition to come...

Practice Associates & Co-Workers

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

16 Associated Practitioners
Calysta Will , LPC

Counselor - Professional

NPI 1003582149

Licensed Professional Counselor

Taylor Faust , MA

Counselor - Mental Health

NPI 1083156954

Master of Arts

Nicole Taylor , LPC

Counselor - Professional

NPI 1194481895

Licensed Professional Counselor

NPI 1205532710

Licensed Social Worker

Stephanie Swank , LCSW

Social Worker - Clinical

NPI 1255882106

Licensed Clinical Social Worker

Scott Smith

Social Worker

NPI 1376205724

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location November 14, 2022

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

📍
Updated Business Mailing Address November 14, 2022

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

👤
Provider Name / Credentials Updated November 14, 2022

Recorded as KRYSTAL SMITH

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

Counselor (License #178.018264 in IL)

📍
Updated Practice Location August 31, 2022

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

📍
Updated Business Mailing Address August 31, 2022

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

✅
NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2016

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

📍
Updated Business Mailing Address September 06, 2016

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

👤
Provider Name / Credentials Updated September 06, 2016

Recorded as KRYSTAL SAMPSON

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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
Update or Correct Profile

Mailing Address

12151 Regency Pkwy Ste 12169

Huntley, IL 601427644

Phone: 8153318768

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.