Active NPI
Crystal Manjarrez PLLC
- Mental Health Counselor
- Berwyn, IL
National Provider Identifier
1962383794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CRYSTAL MANJARREZ PLLC
- Practice address
- 2504 Lombard Ave
Berwyn, IL 60402-2615 - Phone
- (708) 232-6076
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Manjarrez
- Title
- Owner
- Phone
- (708) 717-4206
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2504 Lombard Ave
Berwyn, IL 60402-2615
Mailing address
680 N Lake Shore Dr Ste 110-2163
Chicago, IL 60611-4546
National Provider Directory
National Provider DirectoryLocations
680 N Lake Shore Dr
Ste 1102163
Chicago, IL 60611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Berwyn, IL
- NPI 1811619943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1962383794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 110-2163",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 LOMBARD AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022615",
"telephone_number": "708-232-6076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL MANJARREZ PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "MANJARREZ",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-717-4206"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.