Individual provider Active NPI

Marcel Kraus, ASSOCIATE MFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1124706783
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130047 Issued in CA
Practice address
300 S Beverly Dr Ste 203
Beverly Hills, CA 90212-4805
Phone
(323) 667-6215
NPI assigned
Jul 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130047 CA Primary

Addresses

Primary practice location

300 S Beverly Dr Ste 203
Beverly Hills, CA 90212-4805

Mailing address

7826 Topanga Canyon Blvd Apt 209
Canoga Park, CA 91304-5586
Phone (310) 745-6120

Other names 1

  • Marc Adam Kraus Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130047CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas O'Malley LMFT Marriage & Family Therapist CurrentSince Jul 9, 2023 Accepting new patients

Locations

300 S Beverly Dr
Ste 203
Beverly Hills, CA 90212
Phone (310) 289-5442

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1124706783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 TOPANGA CANYON BLVD APT 209",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045586",
            "telephone_number": "310-745-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124805",
            "telephone_number": "323-667-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "MARCEL",
        "name_prefix": "Mr.",
        "credential": "ASSOCIATE MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "KRAUS",
            "middle_name": "ADAM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.