Krystal M Fowler, LCPC; LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.018050 Issued in IL

Practice address

259 E 115TH St
Chicago, IL 60628-5014

Phone

(773) 253-8385

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1104657584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285014",
            "telephone_number": "773-253-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285014",
            "telephone_number": "773-253-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRYSTAL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCPC; LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "22967",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.018050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Fowler, PT, DPT
• Edwaed Weldon Fowler, PAC
• Jasmine Ashley Fowler, APRN
• Kandi M Fowler, CADC,MISA1,CAMS11
• Kelley Fowler, BCBA
• Michelle Ann Fowler, CRNA
• Nadja Fowler, M.ED., LCPC
• Nancy Christine Fowler, APRN, BC, CNP
• Stephanie Fowler, LCPC, CADC
• Tania Fowler

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.