Active NPI
Frank Morales, CRADC
- Counselor
- Crystal Lake, IL
National Provider Identifier
1013198373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11545
- Practice address
- 101 N Virginia St
Crystal Lake, IL 60014-3426 - Phone
- (815) 459-0499
- Fax
- (815) 788-0115
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11545 | IL | Primary |
Addresses
Primary practice location
101 N Virginia St
Crystal Lake, IL 60014-3426
Mailing address
38W247 McDonald Rd
Elgin, IL 60124-8869
Phone (847) 695-7012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11545 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1013198373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38W247 MCDONALD RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601248869",
"telephone_number": "847-695-7012",
"fax_number": "815-788-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N VIRGINIA ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143426",
"telephone_number": "815-459-0499",
"fax_number": "815-788-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "FRANK",
"name_prefix": "Mr.",
"credential": "CRADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "11545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.