Life Made Krystal Clear LLC
NPI 1629817523 · Clinical Social Worker · Chicago, IL
Life Made Krystal Clear LLC is a Clinical Social Worker organization in Chicago, IL (NPI 1629817523).
Provider details
- NPI number
- 1629817523
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Krystal Fowlkes, Child & Family Therapist(312) 933-3167
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Frequently asked questions
- What is Life Made Krystal Clear LLC's NPI number?
- Life Made Krystal Clear LLC's National Provider Identifier (NPI) is 1629817523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Made Krystal Clear LLC?
- Life Made Krystal Clear LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Life Made Krystal Clear LLC located?
- Life Made Krystal Clear LLC's practice location on file with NPPES is 2045 W Grand Ave Ste B, Chicago, IL 60612-1577.
- What is Life Made Krystal Clear LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Made Krystal Clear LLC is (312) 933-3167.
- Who is the authorized official for Life Made Krystal Clear LLC?
- The authorized official listed on Life Made Krystal Clear LLC's NPPES record is Krystal Fowlkes, Child & Family Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Made Krystal Clear LLC's NPI active?
- Yes — Life Made Krystal Clear LLC's NPI (1629817523) is active in the NPPES registry as of the last update on 2024-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.