CRYSTAL EDWARDS
NPI 1205335064
Counselor - Addiction (Substance Use Disorder) in Charleston, IL

Active since February 07, 2018
903 W LINCOLN AVE, CHARLESTON, IL 61920(217) 348-8384 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Edwards NPPES

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

CRYSTAL EDWARDS (NPI 1205335064) is an individual addiction (substance use disorder) provider in Charleston, Illinois, licensed in Illinois (34419) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1205335064
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL EDWARDS
Location Address903 W LINCOLN AVECharleston, IL 61920-2413
Mailing Address903 W Lincoln AveCharleston, IL 61920-2413 · (217) 348-8384
Sole ProprietorNo
Enumeration DateFebruary 7, 2018
NPI 1205335064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in IL · 34419
903 W LINCOLN AVE, Charleston, IL 61920

Other Names 1

Other Name (5)Crystal Humel Bs Cadc

Other Identifiers 1

Other743113035IL · Fein

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 Edwards's NPI number?

The NPI number for Crystal Edwards is 1205335064. It was assigned to this individual provider in the NPPES registry on February 7, 2018. The provider is also known as Crystal Humel Bs Cadc.

Where is Crystal Edwards located?

Crystal Edwards practices at 903 W Lincoln Ave, Charleston, IL 61920. The listed phone number is (217) 348-8384.

What is Crystal Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Edwards was last updated on February 7, 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.