Crystal Cecile Vilen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

413 SE 13TH St
Grand Rapids, MN 55744-0015

Phone

(218) 999-9908

Fax

(218) 999-9959

NPI assigned

May 8, 2025

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Grander Peace Counseling LLCGroup PAC ID 6204173362, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Grander Peace Counseling LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1013486505

  MN

  Medicare reassignment Care Compare group NPD
• Calm Haven LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Bear Lake, MN
  • NPI 1124902341
  NPD Authorized official

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1982494449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SE 13TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440015",
            "telephone_number": "218-999-9908",
            "fax_number": "218-999-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SE 13TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440015",
            "telephone_number": "218-999-9908",
            "fax_number": "218-999-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILEN",
        "first_name": "CRYSTAL",
        "middle_name": "CECILE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Vasconcellos, DO
• Renee Veit
• Lisa Mei Vekich, RN, IBCLC
• Victoria Beck, MSW, Licsw LLC
• Mischelle Louise Vietanen, PSY.D.
• Rosetta K. Villeneuve, NP
• Thomas J. Viren, MD
• Vision Optical Inc.
• Vision Pro II, Inc
• Walgreen Co

• All providers in Grand Rapids, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.