Individual provider Active NPI

Judith G. Kramer, LICSW

  • Mental Health Counselor
  • Elkins, WV
National Provider Identifier
1154405769
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
DP00080547 Issued in WV
Practice address
10 S Randolph Ave
Elkins, WV 26241-3713
Phone
(304) 637-1002
Fax
(304) 636-3829
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X DP00080547 WV Primary

Addresses

Primary practice location

10 S Randolph Ave
Elkins, WV 26241-3713

Mailing address

10 S Randolph Ave
Elkins, WV 26241-3713
Phone (304) 637-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20110721000434 WV Practitioner - Clinical Social Worker 3870533284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

202 S Randolph Ave
Elkins, WV 26241-3739
Phone (304) 637-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00080547WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Reflections LLC Mental Health CurrentSince Jun 1, 2000 Accepting new patients

Locations

10 S Randolph Ave
Elkins, WV 26241
Phone (304) 637-1002

202 S Randolph Ave
Elkins, WV 26241
Phone (304) 637-1002

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1154405769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413713",
            "telephone_number": "304-637-1002",
            "fax_number": "304-636-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413713",
            "telephone_number": "304-637-1002",
            "fax_number": "304-636-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JUDITH",
        "middle_name": "G.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "DP00080547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.