KEVIN PETER CRUTCHER
NPI 1013104173
Counselor - Mental Health in Bloomington, IL

Active since October 02, 2007PECOS EnrolledAccepts Medicare Assignment
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351(309) 829-6808 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Peter Crutcher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN PETER CRUTCHER (NPI 1013104173) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013104173
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN PETER CRUTCHER
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address8 Blue Lake CtBloomington, IL 61704-1220 · (309) 662-6275
Fax(309) 829-6808
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 2, 2007
✔ NPI 1013104173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 W MARKET ST, Bloomington, IL 61701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Peter Crutcher is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496235079
PECOS Enrollment IDI20260213000472
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Crutcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
808 S ELDORADO RD STE 400
Bloomington, IL 61704
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Social Worker (Clinical)
108 W MARKET ST
BLOOMINGTON, IL 61701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Crutcher's NPI number?

The NPI number for Kevin Crutcher is 1013104173. It was assigned to this individual provider in the NPPES registry on October 2, 2007.

Where is Kevin Crutcher located?

Kevin Crutcher practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Kevin Crutcher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kevin Crutcher enrolled in Medicare?

Yes. Kevin Crutcher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Crutcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Crutcher reassigns Medicare benefits to Truth In Love Counseling LLC (Bloomington, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Crutcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Crutcher was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.