Individual provider Active NPI

Krista Alexandria Lee, LPC

  • Mental Health Counselor
  • Glenview, IL
National Provider Identifier
1609592740
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1812 Monroe CT
Glenview, IL 60025-1486
Phone
(805) 208-2701
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 Primary

Addresses

Primary practice location

1812 Monroe CT
Glenview, IL 60025-1486

Mailing address

1812 Monroe CT
Glenview, IL 60025-1486
Phone (805) 208-2701

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krista@nikkieevanscounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118001163 IL Practitioner - Mental Health Counselor 9436640497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1812 Monroe CT
Glenview, IL 60025-1486

601 Skokie Blvd
Suite 402
Northbrook, IL 60062-2843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drift and Anchor PLLC Mental Health CurrentSince Oct 23, 2022 Accepting new patients
Center for Psychology and Wellness, P.C. CurrentSince Oct 1, 2025 Accepting new patients

Locations

601 Skokie Blvd
Ste 402
Northbrook, IL 60062
Phone (847) 607-1589

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1609592740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MONROE CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251486",
            "telephone_number": "805-208-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MONROE CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251486",
            "telephone_number": "805-208-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KRISTA",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krista@nikkieevanscounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1812 Monroe Ct",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600251486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.