Crystal Lynn Dalebroux, LMFT CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

773-124 Issued in WI

Practice address

7818 Big Sky Dr Ste 101
Madison, WI 53719-2840

Phone

(608) 203-6267

Fax

(608) 203-6696

NPI assigned

Mar 19, 2007

Last updated

Nov 29, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Marriage & Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Fitchburg, WI
  • NPI 1558560375
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1881718294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 BELLFLOWER LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194539",
            "telephone_number": "608-203-6267",
            "fax_number": "608-203-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "608-203-6267",
            "fax_number": "608-203-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEBROUX",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMFT CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15321-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "773-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002735",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather L Dakter, MS, SAC-IT, LPC-IT
• Dalas Transport LLC
• Dalas Transportation LLC
• Jessica W Dalby, MD
• Barbara R Dale, RD
• Eileen F Dalebroux
• Marie A Daleo, M.D.
• Amy E Daley, MD
• Geoffrey Eugene Daley
• Roger Alan Daley Jr., MD

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.