ANITA SMULLIN (NPI# 1508225400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508225400 |
| Entity Type | Individual |
| Full Name | ANITA SMULLIN |
| Credential | LCPC |
| Practice Address |
120 N Walkup Ave Crystal Lake IL 60014-4355 |
| Mailing Address |
961 Ridgewood Ln Crystal Lake IL 60014-8381 |
| Practice Telephone | 8159051029 |
| Mailing Telephone | (815) 905-1029 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180010956 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 214 N Main St, Algonquin, IL 601022449 | 8478544333 |
| Street Address |
120 N WALKUP AVE |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163976 | Krystyna Janina Wojtowicz | Counselor | 601 Tamarisk Ln, Crystal Lake, IL 60014-7022 | 2020-01-09 |
| 1801370200 | Counseling With Purpose LLC | Counselor | 7115 Virginia Rd Ste 104, Crystal Lake, IL 60014-3110 | 2018-09-20 |
| 1407343304 | Angela Perillo | Counselor | 5911 Northwest Hwy Ste 207, Crystal Lake, IL 60014-8043 | 2018-04-16 |
| 1700334562 | Rebekah Kaider | Counselor | 800 S Mchenry Ave Ste F, Crystal Lake, IL 60014-7487 | 2016-09-21 |
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1073938734 | Karen Sullivan | Counselor | 111 S Virginia St Ste L03, Crystal Lake, IL 60014-5853 | 2014-03-04 |
| 1164720215 | Despina Mcbride | Counselor | 101 N Virginia St Ste 115, Crystal Lake, IL 60014-3446 | 2011-03-14 |
| 1902103815 | Laurie Anne Larsen | Counselor | 2600 Behan Rd Ste E3, Crystal Lake, IL 60014-2224 | 2011-02-12 |
| 1932427275 | Sara B. Lemke | Counselor | 42 East St, Crystal Lake, IL 60014-4400 | 2010-05-11 |
| 1669605473 | Mark Anthony Pishotta | Counselor | 24 Surrey Ln, Crystal Lake, IL 60014-7864 | 2009-08-26 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on ANITA SMULLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.