CRYSTAL LAUREN SMITH BC-DMT, LCPC
NPI 1417109406
Counselor - Professional in Evanston, IL

Active since October 21, 2008
636 CHURCH ST, SUITE 510, EVANSTON, IL 60201(773) 817-2797 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Crystal Lauren Smith Bc-dmt, Lcpc NPPES

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

CRYSTAL LAUREN SMITH BC-DMT, LCPC (NPI 1417109406) is an individual professional provider in Evanston, Illinois, licensed in Illinois (180.006725) and active in the NPI registry since October 2008. She maintains a secondary practice location in La Grange Park.

NPPES Registry Identity

NPI1417109406
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL LAUREN SMITHCredential: BC-DMT, LCPC
Location Address636 CHURCH ST, SUITE 510Evanston, IL 60201-4508
Mailing Address636 Church St, Suite 510Evanston, IL 60201-4508
Sole ProprietorYes
Enumeration DateOctober 21, 2008
Last NPPES UpdateJune 11, 2019
NPI 1417109406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.006725
636 CHURCH ST, Evanston, IL 60201

Secondary Practice Location 1

Location 1333 N La Grange RdLA Grange Park, IL 60526-5646 · Phone (708) 698-5090

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.

Psychologist (Clinical)
636 CHURCH ST, SUITE #421
EVANSTON, IL 60201
Counselor (Professional)
636 CHURCH ST
EVANSTON, IL 60201
Dentist
636 CHURCH ST, #721
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST, #508
EVANSTON, IL 60201
Marriage & Family Therapist
636 CHURCH ST, SUITE 601
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE 416
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE 615-B
EVANSTON, IL 60201
Counselor (Mental Health)
636 CHURCH ST, SUITE 409
EVANSTON, IL 60201

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 Smith's NPI number?

The NPI number for Crystal Smith is 1417109406. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Crystal Smith located?

Crystal Smith practices at 636 Church St Suite 510, Evanston, IL 60201. The listed phone number is (773) 817-2797.

What is Crystal Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Crystal Smith was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.