Active NPIIndividual providerSole proprietor

Crystal D Leboeuf, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Saint Johnsbury, Vermont

NPI Number1033645726
Practice location
1097 Main St, Saint Johnsbury, VT 05819-2646
Fax
802-200-0493
Last updated
August 4, 2025

Crystal Dawn Leboeuf is a Nurse Practitioner, Psych/Mental Health based in Saint Johnsbury, VT. Crystal Dawn Leboeuf practices in Saint Johnsbury, VT and has the professional credentials of PMHNP-BC. The NPI Number for Crystal Dawn Leboeuf is 1033645726 and holds a License No. 026.0122541 (VT). The current practice location address for Crystal Dawn Leboeuf is 1097 Main St, Saint Johnsbury, VT 05819-2646 and can be reached out via phone at 802-255-8788 and via fax at 802-200-0493.

Provider Profile Details

NPI Number
1033645726
Provider Name
Crystal Dawn Leboeuf
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1097 Main St, Saint Johnsbury, VT 05819-2646
Phone Number
802-255-8788
Fax Number
802-200-0493
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Other Names
-- Crystal Dawn Gagnon (Former Name)
Provider Enumeration Date
May 2, 2017
Last Update Date
August 4, 2025
Certification Date
August 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1097 Main St
Saint Johnsbury, VT 05819-2646
State
Vermont
Zip
05819-2646
Phone Number
802-255-8788
Fax Number
802-200-0493
Saint Johnsbury, VT 05819Get directions →

Provider Business Mailing Address Details

Address
Po Box 65
Saint Johnsbury, VT 05819-0065
City
Saint Johnsbury
State
VT
Zip
05819-0065
Phone Number
802-255-8788
Fax Number
802-200-0493

License Information

License Number (1)
026.0122541
License State (1)
VT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
073848-21
License State (2)
NH
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
101.0135005
License State (3)
VT
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Crystal D Leboeuf, PMHNP-BC?

The NPI number of Crystal D Leboeuf, PMHNP-BC is 1033645726. It was assigned on May 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Crystal D Leboeuf, PMHNP-BC?

Crystal D Leboeuf, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in VT under license number 026.0122541.

Where does Crystal D Leboeuf, PMHNP-BC practice?

The practice location is 1097 Main St, Saint Johnsbury, VT 05819-2646. The office can be reached at 802-255-8788 (phone) or 802-200-0493 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033645726 directly on the NPPES registry website.

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