CRYSTAL LAKE COUNSELING, LLC
NPI 1720237373
Community/Behavioral Health in Comstock, WI
NPI Status: Active since September 18, 2008
Contact Information
1821 1 1/2 STREET
COMSTOCK, WI
ZIP 54826
Phone: (715) 822-2980
Fax: (715) 822-2205
- Organization
- Community/Behavioral Health
About CRYSTAL LAKE COUNSELING, LLC
This page provides the complete NPI Profile along with additional information for Crystal Lake Counseling, Llc, a provider established in Comstock, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1720237373 assigned on September 2008. The practitioner's primary taxonomy code is 251S00000X with license number 2766 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Debra Jill Severson Ms Lpc (Clinic Owner And Director)
- NPI
- 1720237373
- Provider Name
- CRYSTAL LAKE COUNSELING, LLC
- Entity Type
- Organization
- Location Address
- 1821 1 1/2 STREET COMSTOCK, WI 54826
- Location Phone
- (715) 822-2980
- Location Fax
- (715) 822-2205
- Mailing Address
- 1821 1 1/2 STREET P.O. BOX 27 COMSTOCK, WI 54826
- Mailing Phone
- (715) 822-2980
- Mailing Fax
- (715) 822-2205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-18-2008
- Last Update Date
- 09-18-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 2766
- License State
- WI
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42252900 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 3 | 7 | 3 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 3 | 14 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 3 + 1 + 4 + 3 + 1 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1720237373 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720237373, enumerated in the NPI registry as an "organization" on September 18, 2008
The provider is located at 1821 1 1/2 Street Comstock, Wi 54826 and the phone number is (715) 822-2980
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 18, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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