Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystina Wells

Individual provider Professional Counselor · NPI 1477118974

Crystina Wells is a Mental Health Counselor in Marion, Illinois. Qualified in 2011, 15 years ago. Practices with Brightside Medical PA, a 95-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Utah.

Years since qualifying
15
Licensed in
IL, UT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1602 W Walnut St
Marion, IL 62959-1310
Phone: (618) 364-2504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180012737 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 12918791-6004 (UT)

Record details

NPI number1477118974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2019
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Marion