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

Kristin Busco Shipley

Individual provider Professional Counselor · NPI 1134765647

Kristin Busco Shipley is a Professional Counselor in Crystal Lake, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
3

Practice location Address checks out

1026 Sugar Maple Dr
Crystal Lake, IL 60012-3804
Phone: (779) 333-8899
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.022015 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 150103103 (IL)
School Social Worker Taxonomy 1041S0200X · Licence 149.022015 (IL)

Record details

NPI number1134765647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2019
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

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