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CRYSTAL LAKE COUNSELING, LLC
NPI 1720237373
Community/Behavioral Health in Comstock, WI

Active since September 18, 2008
1821 1 1/2 STREET, COMSTOCK, WI 54826(715) 822-2980(715) 822-2205 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Lake Counseling, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE COUNSELING, LLC (NPI 1720237373) is a healthcare organization registered as a community/behavioral health in Comstock, Wisconsin and active in the NPI registry since September 2008. The organization lists Debra Jill Severson, Clinic Owner And Director, as its authorized official.

NPPES Registry Identity

NPI1720237373
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCRYSTAL LAKE COUNSELING, LLC
Location Address1821 1 1/2 STREETComstock, WI 54826
Mailing Address1821 1 1/2 Street, P.o. Box 27Comstock, WI 54826 · (715) 822-2980 · Fax (715) 822-2205
Phone(715) 822-2980
Fax(715) 822-2205
Organization SubpartNo
Authorized OfficialDebra Jill SeversonClinic Owner And Director · (715) 822-2980
Enumeration DateSeptember 18, 2008
✔ NPI 1720237373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WI · 2766
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1821 1 1/2 STREET, Comstock, WI 54826
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Other Identifiers 1

Medicaid42252900WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lake Counseling, LLC's NPI number?

The NPI number for Crystal Lake Counseling, LLC is 1720237373. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Crystal Lake Counseling, LLC located?

Crystal Lake Counseling, LLC is located at 1821 1 1/2 Street, Comstock, WI 54826. The listed phone number is (715) 822-2980.

What is Crystal Lake Counseling, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Counseling, LLC was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.