Krysti M Deines, LPC, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7765 Issued in WI

Practice address

721 Oxford Ave
Eau Claire, WI 54703-5212

Phone

(715) 839-7602

NPI assigned

Oct 26, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Eau ClaireGroup PAC ID 7113350398, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Eau Claire

  • Community/Behavioral Health Agency
  • Eau Claire, WI
  • NPI 1730643263
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1497419303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEINES",
        "first_name": "KRYSTI",
        "middle_name": "M",
        "credential": "LPC, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19181",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Decesare, MD
• Catharine C Decker, MD
• Cortney Vaughn Decker, DDS
• Stephanie Decker, DPT
• Mackenzie Ann Deffenbaugh, LPC
• Wendy C Deiss, LPN
• Shelley L Dejongh, MS, LPC, CSAC
• John N Delakis, OPTICIAN
• Paul J Delakis, OD
• Paul S Delakis, O.D.

• Professional Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.