Organization Active NPI

Kevin Crystal Counseling P.C.

  • Mental Health Counselor
  • Evanston, IL
National Provider Identifier
1073440764
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KEVIN CRYSTAL COUNSELING P.C.
Practice address
636 Church St Ste 511
Evanston, IL 60201-4581
Phone
(773) 972-5844
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Frederick Crystal, LCPCNPI 1356898647
Title
Counselor/ President
Phone
(847) 440-4838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

636 Church St Ste 511
Evanston, IL 60201-4581

Mailing address

636 Church St Ste 511
Evanston, IL 60201-4581
Phone (773) 972-5844

National Provider Directory

National Provider Directory

Locations

636 Church St
Ste 511
Evanston, IL 60201
Phone (773) 972-5844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1073440764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 511",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "773-972-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 511",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "773-972-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CRYSTAL COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "CRYSTAL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "COUNSELOR/ PRESIDENT",
        "authorized_official_telephone_number": "847-440-4838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.