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MRS. CRYSTAL HENDERSON
NPI 1124519806
Counselor - Mental Health in South Holland, IL

Active since May 29, 2018
401 E 162ND ST STE 103, SOUTH HOLLAND, IL 60473(773) 819-5504 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Crystal Henderson NPPES

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

MRS. CRYSTAL HENDERSON (NPI 1124519806) is an individual mental health provider in South Holland, Illinois and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1124519806
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CRYSTAL HENDERSON
Location Address401 E 162ND ST STE 103South Holland, IL 60473-2237
Mailing Address401 E 162nd St Ste 103South Holland, IL 60473-2237 · (773) 819-5504
Phone(773) 819-5504
Sole ProprietorYes
Enumeration DateMay 29, 2018
✔ NPI 1124519806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
401 E 162ND ST STE 103, South Holland, IL 60473
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Other Identifiers 1

Medicaid101YM0800XIL

Other Providers at the Same Location NPPES 4

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

HEALING EMPOWERING & LEARNING PROFESSIONALS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (773) 819-5504
REESTABLISHING HOPE INC
Community/Behavioral Health
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (815) 418-6577
MARY A CAMPER DD, PHD, LCSW, CADC
Social Worker (Clinical)
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (815) 418-6577
DR. ANDREA I WASHINGTON
Social Worker
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (773) 819-5504

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 Crystal Henderson's NPI number?

The NPI number for Crystal Henderson is 1124519806. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Crystal Henderson located?

Crystal Henderson practices at 401 E 162nd St Ste 103, South Holland, IL 60473. The listed phone number is (773) 819-5504.

What is Crystal Henderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Henderson was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.