Individual provider Active NPI

Krystal Abalos

  • Mental Health Counselor
  • Grayslake, IL
National Provider Identifier
1083519912
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.017860 Issued in IL
Practice address
10 N Lake St Ste 109
Grayslake, IL 60030-3636
Phone
(815) 526-0876
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.017860 IL Primary

Addresses

Primary practice location

10 N Lake St Ste 109
Grayslake, IL 60030-3636

Mailing address

3204 Biscayne Rd
McHenry, IL 60050-8321
Phone (815) 526-0876

Other practice location 1

4415 Beck Ln
Ringwood, IL 60072-9688
Phone (815) 526-0876

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

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1083519912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 BISCAYNE RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508321",
            "telephone_number": "815-526-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N LAKE ST STE 109",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303636",
            "telephone_number": "815-526-0876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 Beck Ln",
            "address_purpose": "LOCATION",
            "city": "Ringwood",
            "state": "IL",
            "postal_code": "600729688",
            "country_code": "US",
            "telephone_number": "815-526-0876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABALOS",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.017860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.