Individual provider Active NPI

Crystal Lynn Hreska, LCPC

  • Mental Health Counselor
  • Arlington Heights, IL
National Provider Identifier
1912440249
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180010654 Issued in IL
Practice address
415 W Golf Rd Ste 59C
Arlington Heights, IL 60005-3923
Phone
(847) 999-3579
Fax
(224) 404-1089
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 180010654 IL Primary

Addresses

Primary practice location

415 W Golf Rd Ste 59C
Arlington Heights, IL 60005-3923

Mailing address

1004 W Miner St
Arlington Heights, IL 60005-1229
Phone (773) 454-8480

Other practice location 1

1004 W Miner St
Arlington Heights, IL 60005-1229

Other practice location 2

1400 W Greenleaf Ave
Chicago, IL 60626-2805
Phone (773) 508-6100

Other practice location 3

555 W Central Rd
Hoffman Estates, IL 60192-1910
Phone (847) 999-3579

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
180010654ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Wellness Counseling Services, PLLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

415 W Golf Rd
Ste 59C
Arlington Heights, IL 60005
Phone (847) 999-3579

555 W Central Rd
Hoffman Estates, IL 60192
Phone (847) 370-5181

Organizations & group practices 1

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1912440249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W MINER ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051229",
            "telephone_number": "773-454-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 59C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-999-3579",
            "fax_number": "224-404-1089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 W Miner St",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600051229",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 W Greenleaf Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606262805",
            "country_code": "US",
            "telephone_number": "773-508-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 W Central Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601921910",
            "country_code": "US",
            "telephone_number": "847-999-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRESKA",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.