CRYSTAL LEACH (NPI# 1184935355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184935355 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEACH |
| Credential | LIMHP, MSW |
| Practice Address |
1100 West 2nd Street Oshkosh NE 69154-6152 |
| Practice Telephone | 3087723283 |
| Practice Fax Number | 3087729916 |
| Mailing Telephone | 3087723283 |
| Mailing Fax Number | 3087729916 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1077 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1486 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891115994 | Crystal Ivahna Leach | Physical Medicine & Rehabilitation | 144 Washington Rd, Edgewater, MD 21037-1412 | 2014-04-16 |
| Street Address |
1100 WEST 2ND STREET |
| City | OSHKOSH |
| State | NE |
| Zip Code | 69154-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972650422 | Albert C Coco Dds PC | Dentist | 1915 No 121st Street, Suite A, Omaha, NE 69154 | 2007-01-05 |
| 1922102938 | Tim Andrew Jensen | Dentist | 390 Main St, Oshkosh, NE 69154-0590 | 2006-09-11 |
| 1316505324 | Garden County Transportation | Bus | 619 Main St, Oshkosh, NE 69154-5034 | 2019-06-04 |
| 1962475467 | Garden County Hospital & Nursing Home | General Acute Care Hospital | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-02-07 |
| 1831357086 | Garden County Hospital & Nursing Home | Exclusive Provider Organization | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2008-05-23 |
| 1265536676 | Garden County Hospital & Nursing Home | Nursing Care | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-09-08 |
| 1972607380 | Garden County Hospital & Nursing Home | Clinic/Center | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-09-08 |
| 1427078252 | Tamela Ulila Stout | Specialist/Technologist | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-07-21 |
| 1497165831 | Panhandle Mental Health Center | Community/Behavioral Health | 310 Main St Ofc A, Oshkosh, NE 69154-6112 | 2014-05-07 |
| 1528064540 | Ame | Pharmacy | 311 Main St, Oshkosh, NE 69154-6112 | 2005-06-23 |
| Find all providers in zip 69154 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932340437 | John Claus Marxen | Counselor | 3126 W 20th Ave, Oshkosh, WI 54904-9258 | 2009-03-12 |
| 1861659237 | Jennifer M Schinkten | Counselor | 404 N Main St Ste 612, Oshkosh, WI 54901-4953 | 2008-05-21 |
| 1285835751 | Cheryl Ann Eifler | Counselor | 515 S Washburn St Ste 104, Oshkosh, WI 54904-7951 | 2007-05-30 |
| 1871651299 | Stacey Otto | Counselor | 220 Washington Avenue, Oshkosh, WI 54901 | 2006-12-05 |
| 1528169034 | Paula F. Harry | Counselor | 404 N Main St Ste 503, Oshkosh, WI 54901-4952 | 2006-09-26 |
| 1851906291 | Bethany A Lerch | Counselor | 404 N Main St Ste 503, Oshkosh, WI 54901-4952 | 2020-09-12 |
| 1528684545 | Emily Ruf | Counselor | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2020-06-25 |
| 1124504287 | Gabrielle Boehrig | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2018-07-12 |
| 1366956682 | Jamie M Freund | Counselor | 404 N Main St Ste 612, Oshkosh, WI 54901-4953 | 2017-11-22 |
| 1851821094 | Jennifer Henning | Counselor | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2017-06-19 |
| Find all providers in OSHKOSH | ||||
Please comment or provide details below to improve the information on CRYSTAL LEACH.
| 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.