Individual provider Active NPI

Kailey Krupar, ATR-BC, LMHC, LPC

  • Art Therapist
  • Wilmington, DE
National Provider Identifier
1053260075
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
22-202 Issued in FL
Practice address
1521 Concord Pike Ste 201
Wilmington, DE 19803-3645
Phone
(954) 998-2538
NPI assigned
Jan 23, 2026
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C11405 OR
Mental Health Counselor 101YM0800X MH27265 FL
Art Therapist 221700000X 22-202 FL Primary

Addresses

Primary practice location

1521 Concord Pike Ste 201
Wilmington, DE 19803-3645

Mailing address

1521 Concord Pike Ste 201
Wilmington, DE 19803-3645
Phone (954) 998-2538

Other practice location 1

11740 SW 68th Pkwy Ste 200
Tigard, OR 97223-9058
Phone (954) 998-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260324001913 OR Practitioner - Mental Health Counselor 6204310659 Reassigns benefits to 2 organizations
I20260520002779 FL Practitioner - Mental Health Counselor 6204310659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984

2829 Buena Vista Rd
Nyssa, OR 97913-5301
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27265FLMDMental Health Counselor
C11405ORMDMental Health Counselor
22-202FLMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Creative Sanctuary Mental Health Current Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1053260075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033645",
            "telephone_number": "954-998-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033645",
            "telephone_number": "954-998-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11740 SW 68th Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972239058",
            "country_code": "US",
            "telephone_number": "954-998-2538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPAR",
        "first_name": "KAILEY",
        "credential": "ATR-BC, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C11405",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27265",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "FL",
            "license": "22-202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.