Krista Lynae Bjork, MABC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1064 Plum Tree Dr
Crystal Lake, IL 60014-8310

Phone

(708) 738-9492

NPI assigned

Nov 5, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1851992853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 PLUM TREE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148310",
            "telephone_number": "708-738-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 PLUM TREE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148310",
            "telephone_number": "708-738-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORK",
        "first_name": "KRISTA",
        "middle_name": "LYNAE",
        "credential": "MABC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sothatwe.com",
            "affiliation": "N",
            "endpointDescription": "website form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1064 Plum Tree Dr",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600148310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dan K Blair, MA
• Alexandra Blakewell
• Ruth A Blameuser, M.S. OT, OTR/L

• Pastoral Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pastoral Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.