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MRS. KRYSTAL M FOWLER LCPC; LPC
NPI 1104657584
Counselor - Mental Health in Chicago, IL

Active since August 08, 2024PECOS Enrolled
259 E 115TH ST, CHICAGO, IL 60628(773) 253-8385 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, Mar 19, 2026, Aug 8, 2024 (3 updates tracked since 2024).

About Mrs. Krystal M Fowler Lcpc; Lpc NPPES

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

MRS. KRYSTAL M FOWLER LCPC; LPC (NPI 1104657584) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.018050) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104657584
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KRYSTAL M FOWLERCredential: LCPC; LPC
Location Address259 E 115TH STChicago, IL 60628-5014
Mailing Address259 E 115th StChicago, IL 60628-5014 · (773) 253-8385
Phone(773) 253-8385
Sole ProprietorNo
Enumeration DateAugust 8, 2024
Last NPPES UpdateApril 17, 20263 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1104657584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IL · 180.018050✔ Licensed in AZ · 22967
259 E 115TH ST, Chicago, IL 60628
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Krystal M Fowler Lcpc; Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

GRO COMMUNITY
Clinic/Center (Adolescent and Children Mental Health)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (618) 203-4368
KENNETH TRIMUEL
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
JERRELL EVANS
Counselor
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
MR. CHARLES ALVIN PHILLIPS JR.
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 339-7394
CHARDAE GILES
Case Manager/Care Coordinator
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
TRACY STEPHEN
Social Worker (Clinical)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385
RAQUEAL PULLUMS
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
VADETTE ANDERSON
Case Manager/Care Coordinator
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385

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 Krystal Fowler's NPI number?

The NPI number for Krystal Fowler is 1104657584. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Krystal Fowler located?

Krystal Fowler practices at 259 E 115th St, Chicago, IL 60628. The listed phone number is (773) 253-8385.

What is Krystal Fowler's specialty?

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

Is Krystal Fowler enrolled in Medicare?

Yes. Krystal Fowler is registered in the Medicare PECOS enrollment system.

What insurance does Krystal Fowler accept?

Health plans from Oscar Health list Krystal Fowler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystal Fowler was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.