CRYSTAL ERIKA-KROELLS DE KAM (NPI# 1841745957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841745957 |
| Entity Type | Individual |
| Full Name | CRYSTAL ERIKA-KROELLS DE KAM |
| Other Name | CRYSTAL ERIKA KROELLS |
| Credential | LPCC |
| Practice Address |
5958 Forest Boulevard Trl Wyoming MN 55092-8435 |
| Practice Telephone | 6087970815 |
| Mailing Telephone | 6087970815 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
01088 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5958 FOREST BOULEVARD TRL |
| City | WYOMING |
| State | MN |
| Zip Code | 55092-8435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| 1588028955 | Kevin Anthony Brueske | Pediatrics | 5200 Fairview Blvd, Wyoming, MN 55092 | 2016-04-11 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649805003 | Samantha Shump | Counselor | 2465 Byron Center Ave Sw, Wyoming, MI 49519-2111 | 2020-03-06 |
| 1124511803 | Andrea Elizabeth Nagurski | Counselor | 1751 Havana Ave Sw, Wyoming, MI 49509-5604 | 2018-06-07 |
| 1598139750 | John Henry James Oraczewski | Counselor | 323 Bunker Hill Rd, Wyoming, PA 18644-9380 | 2015-11-25 |
| 1295297844 | Annalise Hammerlund | Counselor | 2663 44th St Sw Ste 106, Wyoming, MI 49519-4189 | 2019-04-03 |
| 1912465535 | Noors Heaven of West Michigan Services | Counselor | 2723 Sarnia St Sw, Wyoming, MI 49519-6308 | 2019-03-04 |
| 1063979144 | New River Counseling, Pllc | Counselor | 2663 44th St Sw Ste 106, Wyoming, MI 49519-4189 | 2019-02-26 |
| 1225572464 | Charnel Marietje Houben-hop | Counselor | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2016-12-07 |
| 1225586431 | Ineke Larie Wilkinson | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2016-09-15 |
| 1922490671 | Steven Coomes | Counselor | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2015-03-03 |
| 1679964928 | Vincent Depaul Morton IIi | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2015-02-09 |
| Find all providers in WYOMING | ||||
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| 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.