Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427523356 Individual Practitioner Female Practitioner

Kristin Smith , LPC

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Kristin Smith, LPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 520 N 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 N 4th St

Springfield, IL 627025238

Telephone 2175458000
Fax 2177578161
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% 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: 2020-02-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180-012576

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 178012651

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IL 178012651

Definition to come...

Secondary Practice Locations

2200 Lake Victoria Dr

Springfield, IL 627035596

Phone: 2175299266

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 19, 2020

Registered at 520 N 4TH ST, SPRINGFIELD, IL 627025238 (Tel: 2175458000)

📍
Updated Business Mailing Address February 19, 2020

Registered at 201 E MADISON ST STE 300, SPRINGFIELD, IL 627025131 (Tel: 2175457885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2019

Counselor (License #178012651 in IL)

NPI Profile Active October 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2018

Registered at 2200 LAKE VICTORIA DR, SPRINGFIELD, IL 627035596 (Tel: 2175299266)

📍
Updated Business Mailing Address October 08, 2018

Registered at 55 E JACKSON BLVD STE 1500, CHICAGO, IL 606044137 (Tel: 3126631130)

👤
Provider Name / Credentials Updated October 08, 2018

Recorded as KRISTIN SMITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2018

Counselor (License #178012651 in IL)

🟢
Initial NPI Registration & Enumeration October 08, 2018

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: 1427523356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2018
Last Update: February 19, 2020
Sole Proprietor: No

Mailing Address

201 E Madison St Ste 300

Springfield, IL 627025131

Phone: 2175457885

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.