CHRYSTAL STEPHANY (NPI# 1942675236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942675236 |
| Entity Type | Individual |
| Full Name | CHRYSTAL STEPHANY |
| Credential | MA,LPC |
| Practice Address |
N7640 Cty Rd Wh Ste 200 Fond Du Lac WI 54935-5493 |
| Mailing Address |
N7640 Cty Rd Wh Ste 200 Fond Du Lac WI 54937-2526 |
| Practice Telephone | 9209333736 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16445 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6151-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
N7640 CTY RD WH STE 200 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-5493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171395 | Jennifer Menke | Counselor | 171 E Follett St, Fond Du Lac, WI 54935-3536 | 2018-07-26 |
| 1306394028 | Sarah M Brinkley | Counselor | 757 S Main St Ste 8, Fond Du Lac, WI 54935-5708 | 2016-09-12 |
| 1356794788 | Phoenix Rising LLC | Counselor | N7640 County Road Wh Ste 200, Fond Du Lac, WI 54937-7832 | 2016-07-20 |
| 1952530776 | Avis Pauline Sierra | Counselor | 551 W. Johnson St., Fond Du Lac, WI 54935 | 2009-07-14 |
| 1518192509 | Sarah Rose Drake-ricart | Counselor | 371 E 1st St, Fond Du Lac, WI 54935-4563 | 2009-05-20 |
| 1306085089 | Sena C Yerges | Counselor | 757 South Main Street, Suite 8, Fond Du Lac, WI 54935 | 2009-02-19 |
| 1205905908 | Wisconsin Lutheran Child & Family Service Inc | Counselor | 757 S Main St, Suite 8, Fond Du Lac, WI 54935-5739 | 2006-11-07 |
| 1265511364 | Stephanie Owen | Counselor | 196 3rd St, Fond Du Lac, WI 54935-4418 | 2006-11-02 |
| 1982212312 | Tiffany M Parker | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-07-22 |
| 1831737915 | Leah Koenigs | Counselor | 196 3rd St, Fond Du Lac, WI 54935-4418 | 2019-12-19 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on CHRYSTAL STEPHANY.
| 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.