Active NPI
Kimberly M Krasowski, LMHC
- Mental Health Counselor
- Salem, NH
National Provider Identifier
1124605480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 484
- Practice address
- 25 Pelham Rd Ste 203
Salem, NH 03079-4851 - Phone
- (603) 883-0005
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 484 | NH | Primary |
Addresses
Primary practice location
25 Pelham Rd Ste 203
Salem, NH 03079-4851
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
31 Church Ln
Chester, NH 03036-8118
Phone (603) 858-5240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2026 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 484 | NH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1124605480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PELHAM RD STE 203",
"city": "SALEM",
"state": "NH",
"postal_code": "030794851",
"telephone_number": "603-883-0005"
}
],
"practiceLocations": [
{
"address_1": "31 Church Ln",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "NH",
"postal_code": "030368118",
"country_code": "US",
"telephone_number": "603-858-5240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRASOWSKI",
"first_name": "KIMBERLY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.