MRS. CRYSTAL LYNN DALEBROUX (NPI# 1881718294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881718294 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LYNN DALEBROUX |
| Credential | LMFT CSAC |
| Practice Address |
7818 Big Sky Dr Ste 101 Madison WI 53719-2840 |
| Mailing Address |
1434 Bellflower Ln Madison WI 53719-4539 |
| Practice Telephone | 6082036267 |
| Practice Fax Number | 6082036696 |
| Mailing Telephone | 6082036267 |
| Mailing Fax Number | 6082036696 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15321-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
773-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100002735 | 05 |
| Street Address |
7818 BIG SKY DR STE 101 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303525 | Abigail Grace Romersberger | Counselor | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2020-07-20 |
| 1437767159 | Carrie Kate Hardy | Social Worker | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2020-07-20 |
| 1346888310 | Eric Baer | Marriage & Family Therapist | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2019-12-20 |
| 1750942660 | Barbara A Kolb | Social Worker | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2019-06-23 |
| 1669960936 | Emilie Klos | Marriage & Family Therapist | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2018-04-23 |
| 1033598461 | Stephanie I Hammes | Marriage & Family Therapist | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2015-05-19 |
| 1619318979 | Ashley Ann Tillery | Social Worker | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2013-07-15 |
| 1982980397 | Frieda Edith Gear | Physician Assistant | 7818 Big Sky Dr Ste 101, Madison, WI 53719-2840 | 2011-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591086 | Carrie Allen | Counselor | 222 Kyser Blvd Apt 73, Madison, AL 35758-2307 | 2020-09-03 |
| 1548872765 | Kelly Kendricks | Counselor | 2002 Atwood Ave Ste 225, Madison, WI 53704-5382 | 2020-08-19 |
| 1740803097 | Megan Gour | Counselor | 8102 Wellness Way, Madison, WI 53719-8800 | 2020-05-21 |
| 1578197141 | Nicole Danielle Morra | Counselor | 141 Durham Rd Ste 19, Madison, CT 06443-2657 | 2020-02-23 |
| 1982236741 | Jolin Mitchel | Counselor | 437 S Yellowstone Dr Ste 219, Madison, WI 53719-1061 | 2020-02-10 |
| 1346880127 | Tree of Life Treatment Services | Counselor | 437 S Yellowstone Dr Ste 200, Madison, WI 53719-2902 | 2020-01-09 |
| 1720623226 | Reflections Mental Health LLC | Counselor | 2802 Coho St Ste 203, Madison, WI 53713-4521 | 2019-11-08 |
| 1740822287 | Diamond Jones | Counselor | 2093 W Us 90, Madison, FL 32340-4308 | 2019-10-16 |
| 1457819617 | Emma Coleen Tagariello | Counselor | 170 Ridgedale Ave, Madison, NJ 07940-1220 | 2019-03-06 |
| 1144785940 | Vallis LLC | Counselor | 814 Palmer Rd Ste B4, Madison, AL 35758-3185 | 2019-02-05 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on MRS. CRYSTAL LYNN DALEBROUX.
| 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.