Individual provider Active NPI

Kristin Fell

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1770930497
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
145 S Virginia St
Crystal Lake, IL 60014-7226
Phone
(815) 444-9999
NPI assigned
May 23, 2016
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Clinical Social Worker 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X 150006696 IL
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

145 S Virginia St
Crystal Lake, IL 60014-7226

Mailing address

859 Big Bear TRL
Cary, IL 60013-3303
Phone (847) 757-9012

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
I20180515000412 IL Practitioner - Clinical Social Worker 5890059174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mathers Recovery LLCGroup PAC ID 2163781378, 6 clinicians
Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Practice addresses (Care Compare)

101 Towne Centre LN
Fox Lake, IL 60020-1801
Phone (815) 444-9999

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone (815) 444-9999

420 Airport Rd
Suite C
Elgin, IL 60123-9329
Phone (847) 462-6099

715 W Judd St
Woodstock, IL 60098-3186
Phone (815) 444-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150006696ILMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Mathers Clinic LLC Current Accepting new patients
The Mathers Clinic LLC Community/Behavioral Health CurrentSince Apr 19, 2018 Accepting new patients
Mathers Recovery LLC Community/Behavioral Health CurrentSince Apr 19, 2018 Accepting new patients
Mathers Recovery LLC Community/Behavioral Health CurrentSince Apr 19, 2018 Accepting new patients

Locations

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999

101 Towne Centre Ln
Fox Lake, IL 60020
Phone (815) 444-9999

715 W Judd St
Woodstock, IL 60098
Phone (815) 338-5940

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1770930497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 BIG BEAR TRL",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133303",
            "telephone_number": "847-757-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "815-444-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELL",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "150006696",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.