Active NPI
Carol L. Krieger, PMHCNSBC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Toledo, OH
National Provider Identifier
1184818742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- COA 09424
- Practice address
- 1425 Starr Ave
Toledo, OH 43605-2456 - Phone
- (419) 693-0631
- NPI assigned
- Aug 28, 2007
- Last updated
- May 5, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | COA 09424 | OH | Primary |
Addresses
Primary practice location
1425 Starr Ave
Toledo, OH 43605-2456
Mailing address
1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 693-0631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2867321 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Toledo Medical College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1425 Starr Ave
Toledo, OH 43605-2456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 09424 | OH | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FCHC Medical Care, LLC | Current | Accepting new patients | |
| Unison Behavioral Health Group, Inc. | Current | Accepting new patients |
Locations
L3493
Columbus, OH 43260
L4133
Columbus, OH 43260
1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506
725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1952370561
-
- Multi-Specialty Clinic/Center
- Wauseon, OH
- NPI 1598821175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1184818742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 STARR AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436052456",
"telephone_number": "419-693-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 STARR AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436052456",
"telephone_number": "419-693-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEGER",
"first_name": "CAROL",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "PMHCNSBC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "OH",
"license": "COA 09424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2867321",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.