JERRY CROCKRELL – Addiction (Substance Use Disorder) Counselor, NPI 1245799378

JERRY CROCKRELL is a healthcare provider. based in Park forest, Illinois. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for JERRY CROCKRELL is 1245799378

Main info

Male
Name
JERRY CROCKRELL
NPI
1245799378
Phone
(708) 513-3494
Address
136 N ARBOR TRL
Enumeration Date
18 March 2019
Last Update Date
17 March 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for JERRY CROCKRELL

  • North Arbor Trail, Park Forest, Will County, Illinois, 60466, United States

    PARK FOREST, IL 604662604

    Phone: (708) 513-3494

    Type: Mailing

  • 411, East 9000N Road, Manteno, Kankakee County, Illinois, 60950, United States

    MANTENO, IL 609501065

    Phone: (815) 432-5241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60466)

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Reviews

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Frequently asked questions

What federal number belongs to JERRY CROCKRELL?
The federal identifier for JERRY CROCKRELL is NPI 1245799378.
Is JERRY CROCKRELL's NPI currently valid?
The extract we use shows JERRY CROCKRELL as active.
What field does JERRY CROCKRELL work in?
You can think of JERRY CROCKRELL as practicing within Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where is JERRY CROCKRELL's primary listing?
We display Park Forest, Illinois because that is what the record indicates for JERRY CROCKRELL.
Is JERRY CROCKRELL a real provider?
This page reflects official NPPES data for NPI 1245799378. Always confirm identity and privileges with the practice and licensing boards.

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