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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: August 09, 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
Phone(309) 827-5351
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

THERESA KAUTH
Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
TIMOTHY ROBERT WRIGHT
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRYNNA A PORCH
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
MR. JOSHUA BECKWITH
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRIDGET W MWAURA
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
JOANNE LILLIAN MECHERLE
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
DEAN CONSTANTOPALOS
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
HANNAH DETERDING
Social Worker (Clinical)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351

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.

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 18 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.