Chrystal Stephany, MA,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6151-125 Issued in WI

Practice address

N7640 Cty Rd WH
Ste 200
Fond Du Lac, WI 54935-5493

Phone

(920) 933-3736

NPI assigned

Dec 11, 2015

Last updated

Oct 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Phoenix Rising LLC

  • Professional Counselor
  • Fond Du Lac, WI
  • NPI 1356794788
  NPD (past) Authorized official
• Growing Oak LLC

  • Professional Counselor
  • Ripon, WI
  • NPI 1306195276

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1942675236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7640 CTY RD WH STE 200",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549372526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7640 CTY RD WH",
            "address_2": "STE 200",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355493",
            "telephone_number": "920-933-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANY",
        "first_name": "CHRYSTAL",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16445",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6151-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gideon Jacob Stein, PMHNP
• Bree Nicole Steinert, APSW
• Margaret M Steinmetz, M.D.
• Scott J Stellmacher, MD
• Michelle Stephanie
• Jennifer Nicole Stephany, APNP
• Shaun Stephens, PHARMD
• Alyssa K Stephenson, DPM
• Donald C Steward, MD
• Andrea T Stewart, OTR

• Professional Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 11, 2019; 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.