Individual provider Active NPI

Linda Krasnow

  • Addiction (Substance Use Disorder) Counselor
  • E Longmeadow, MA
National Provider Identifier
1073055794
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1555 Issued in MA
Practice address
200 N Main St
E Longmeadow, MA 01028-2392
Phone
(413) 530-1601
NPI assigned
Nov 11, 2016
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1555 MA Primary
Mental Health Counselor 101YM0800X 529 MA

Addresses

Primary practice location

200 N Main St
E Longmeadow, MA 01028-2392

Mailing address

PO Box 567
Wilbraham, MA 01095-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000752 MA Practitioner - Mental Health Counselor 5496294696 Practice locations: Wilbraham, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1555MAMDChiropractor
529MAMDOrthopedic Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1073055794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010950567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010282392",
            "telephone_number": "413-530-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOW",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1555",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.