Jeremy Phelps
Jeremy Phelps is a Mental Health Counselor in Crystal Lake, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
970 S McHenry AveCrystal Lake, IL 60014-7449
Phone: (815) 322-9823
Fax: (815) 455-7510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 180017263 (IL) |
|---|
Record details
| NPI number | 1376252007 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2022 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
| Mailing address | 970 S McHenry Ave, Crystal Lake, IL 60014-7449 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Lois Nicol, LCPC
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Gina Schostok
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Telos Counseling Services PLLC
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