Crystol Marie Dejohnette

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.108142 Issued in IL

Practice address

1550 S Indiana Ave Ste 2NE
Chicago, IL 60605-2857

Phone

(773) 377-5577

NPI assigned

Mar 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ashe Counseling & Coaching LLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1275092926
  NPD

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1922709658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S AUSTIN BLVD APT 3J",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042332",
            "telephone_number": "773-759-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S INDIANA AVE STE 2NE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052857",
            "telephone_number": "773-377-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Austin Blvd Apt 3J",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603042332",
            "country_code": "US",
            "telephone_number": "773-759-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJOHNETTE",
        "first_name": "CRYSTOL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.108142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaritza Dejesus, LCPC
• Zulma Dejesus, RDH
• Alexandra Dejneka
• Natalia D Dejneka, MD
• Alyssa Dejoan, DPT
• Alex J Dejong, D.O.
• Richard Dejong
• Charlie Wit Dejsahrai, PHARMD
• Laura Nicole Dejulia, AUD
• Bernadette Dejulius

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.