Crystal S. Zanders, PH.D, LCPC, NCC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.008254 Issued in IL

Practice address

1717 N Naper Blvd Ste 200
Naperville, IL 60563-8838

Phone

(708) 590-9405

NPI assigned

May 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal S Madison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1811215619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N NAPER BLVD STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638838",
            "telephone_number": "708-590-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N NAPER BLVD STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638838",
            "telephone_number": "708-590-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDERS",
        "first_name": "CRYSTAL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCPC, NCC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2023-10-20",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "MADISON",
            "middle_name": "S",
            "credential": "MA, LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.