Mackaulie Krantz, MS, CRC

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

00383038

Practice address

2495 Maplewood Dr
Maplewood, MN 55109-1984

Phone

(651) 760-3109

Fax

(651) 967-9417

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1013530542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091984",
            "telephone_number": "651-760-3109",
            "fax_number": "651-967-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091984",
            "telephone_number": "651-760-3109",
            "fax_number": "651-967-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "MACKAULIE",
        "credential": "MS, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00383038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sommer Angeline Kopff, CCC-SLP
• Madeleine Jolie Kopp, MS, LPCC
• Rahul Koranne, MD
• Olivia Korngable, PT, DPT
• Peter James Kowalkowski, P.T.
• Debra Kay Kratz, LICSW
• Amy L Kraus, MD
• Bianca Krause
• John Francis Krawczyk, DDS
• John Thomas Krier, PHARM.D.

• Rehabilitation Counselor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Rehabilitation Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.