NPIMap

Organization Active NPI

Crystal F. Clair, Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1386970267
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180.007066 Issued in IL
Legal business name
CRYSTAL F. CLAIR, INC
Practice address
3118 N Sheffield Ave Ste 1S
Chicago, IL 60657-9139
Phone
(312) 618-4867
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Crystal Faith Clair, M.A., LCPC
Title
Clinical Counselor
Phone
(312) 618-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180.007066 IL Primary

Addresses

Primary practice location

3118 N Sheffield Ave Ste 1S
Chicago, IL 60657-9139

Mailing address

3118 N Sheffield Ave Ste 1S
Chicago, IL 60657-9139
Phone (312) 618-4867

National Provider Directory

National Provider Directory
Tax ID family
Crystal F Clair Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1386970267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N SHEFFIELD AVE STE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579139",
            "telephone_number": "312-618-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N SHEFFIELD AVE STE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579139",
            "telephone_number": "312-618-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL F. CLAIR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "CLAIR",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "312-618-4867",
        "authorized_official_credential": "M.A., LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.007066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.