Olivia T Krokonko, BSW

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

227036 Issued in PA

Practice address

3740 Chambers Hill Rd
Harrisburg, PA 17111-1510

Phone

(717) 238-5553

Fax

(717) 232-7362

NPI assigned

Jul 30, 2021

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1063185304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175510302",
            "telephone_number": "717-736-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 CHAMBERS HILL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111510",
            "telephone_number": "717-238-5553",
            "fax_number": "717-232-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROKONKO",
        "first_name": "OLIVIA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "227036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kripa Home Care LLC
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• Kristen L. Verdelli, Ms, LPC: Canine Assisted Psychotherapy
• Kristin Williams
• Krista Krobath
• Lauren Marie Kropa, PA-C
• Jodelle Marie Kruger, MA, ATR-BC
• Brady Jason Krushinski, DPT
• Stefan P. Kruszewski, M.D.
• Lisa A Kuchtey, CRNP

• Substance Use Disorder Rehabilitation Clinic/Center in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.