Active NPI
Cynthia Faye Krause, MA,LMFT
- Marriage & Family Therapist
- Melbourne, FL
National Provider Identifier
1124728696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4560
- Practice address
- 2760 Revolution St Unit 104
Melbourne, FL 32935-3881 - Phone
- (321) 684-2453
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT4560 | FL | Primary |
Addresses
Primary practice location
2760 Revolution St Unit 104
Melbourne, FL 32935-3881
Mailing address
2760 Revolution St Unit 104
Melbourne, FL 32935-3881
Phone (321) 684-2453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250821002688 | FL | Practitioner - Marriage and Family Therapist | 9537669825 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- M3 Haven Inc.
Practice addresses (Care Compare)
6769 N Wickham Rd
Suite B101
Melbourne, FL 32940-2048
Phone (321) 321-1490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M3 Haven Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
930 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 321-1490
6769 N Wickham Rd
Ste B101
Melbourne, FL 32940
Phone (321) 321-1490
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": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1124728696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 REVOLUTION ST UNIT 104",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353881",
"telephone_number": "321-684-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 REVOLUTION ST UNIT 104",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353881",
"telephone_number": "321-684-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "CYNTHIA",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "MA,LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.