Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902038680 Individual Practitioner Female Practitioner

Kristal Perry-Gutierrez , LCPC

Counselor • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Kristal Perry-Gutierrez, LCPC is a registered healthcare professional specializing in Counselor in Springfield, IL. Practice services are available at 907 CLOCK TOWER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

907 Clock Tower Dr

Springfield, IL 627046023

Telephone 2176851666
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Springfield, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 180-005489

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ann Bova , DN

Legal Medicine

NPI 1508983651
Judith Corvin-Blackburn , MSW, LCSW

Social Worker - Clinical

NPI 1790959112

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2009

Registered at 907 CLOCK TOWER DR, SPRINGFIELD, IL 627046023 (Tel: 2176851666)

📍
Updated Business Mailing Address August 14, 2009

Registered at 907 CLOCK TOWER DR, SPRINGFIELD, IL 627046023

👤
Provider Name / Credentials Updated August 14, 2009

Recorded as KRISTAL PERRY-GUTIERREZ, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2009

Counselor (License #180-005489 in IL)

🟢
Initial NPI Registration & Enumeration August 14, 2009

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: 1902038680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2009
Last Update: August 14, 2009
Sole Proprietor: Yes

Mailing Address

907 Clock Tower Dr

Springfield, IL 627046023

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.