Krystal Glassman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.013647 Issued in IL

Practice address

937 Happ Rd
Northfield, IL 60093-1006

Phone

(312) 728-8574

NPI assigned

Apr 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• In Balance 365, LLC

  • Professional Counselor
  • Northfield, IL
  • NPI 1093384851
  NPD Authorized official

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1548688682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 UNIVERSITY DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894340",
            "telephone_number": "847-343-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HAPP RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931006",
            "telephone_number": "312-728-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "KRYSTAL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861558983",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony James Geroulis, M.D.
• William David Gieseke, PH.D.
• Fred Allen Gitles, M.S.W.
• Gretchen Witte Glader, L.C.S.W, PH.D
• Michael Jason Gladstein, ED.S.
• GMC Dentistry LTD
• John Frederick Golan, MD
• Daniel J. Goldstein, M.D.
• Janine Mary Goldstein, PH.D.
• Timothy Jorge Gonzales

• Professional Counselor in Northfield, IL
• Providers in Northfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.