MRS. NICOLE ANGELA CROUNSE


Address: 2445 Darwin Rd Ste 101, Madison, WI 53704-3116
Phone: 6086587361

MRS. NICOLE ANGELA CROUNSE (NPI# 1588878276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588878276
Entity Type Individual
Full Name MRS. NICOLE ANGELA CROUNSE
Credential CSAC, LPC, ICS
Practice Address 2445 Darwin Rd Ste 101
Madison
WI 53704-3116
Mailing Address 1224 Scenic Ridge Dr
Verona
WI 53593-2265
Practice Telephone 6086587361
Mailing Telephone 6086587361
Enumeration Date 2007-05-10
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15283 WI Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
5884 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 42025400 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1224 Scenic Ridge Dr, Verona, WI 535932265 6086587361
2422 North Grandview Blvd, Waukesha, WI 53188 2625496600 2625496698

Office Location

Street Address 2445 DARWIN RD STE 101
City MADISON
State WI
Zip Code 53704-3116

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1457819617 Emma Coleen Tagariello Counselor 170 Ridgedale Ave, Madison, NJ 07940-1220 2019-03-06
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Competitor

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City MADISON
Zip Code 53704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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