Individual provider Active NPI

Maximino Crespo-Deynes, L.P.C.

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1649646449
Registry record updated Aug 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.009030 Issued in IL
Practice address
866 Pas CT
Apt. # 101
Naperville, IL 60563-4210
Phone
(630) 926-5129
NPI assigned
Aug 15, 2015
Last updated
Aug 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.009030 IL Primary
Professional Counselor 101YP2500X 178.009030 IL

Addresses

Primary practice location

866 Pas CT
Apt. # 101
Naperville, IL 60563-4210

Mailing address

866 Pas CT
Apt. # 101
Naperville, IL 60563-4210
Phone (630) 926-5129

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

State licenses

LicenseStateTypeSpecialty
178.009030ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439596800000",
    "number": "1649646449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 PAS CT",
            "address_2": "APT. # 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634210",
            "telephone_number": "630-926-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 PAS CT",
            "address_2": "APT. # 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634210",
            "telephone_number": "630-926-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO-DEYNES",
        "first_name": "MAXIMINO",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.009030",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.009030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.