Individual provider Active NPI

Catherine D Kraus, LCSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1205025525
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW- 28336 Issued in ID
Practice address
833 Cairn Dr
Nampa, ID 83651-2460
Phone
(208) 284-2869
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW- 28336 ID Primary

Addresses

Primary practice location

833 Cairn Dr
Nampa, ID 83651-2460

Mailing address

833 Cairn Dr
Nampa, ID 83651-2460
Phone (208) 284-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20110329000817 ID Practitioner - Clinical Social Worker 9133302136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renewed Hope Counseling and Wellness LLCGroup PAC ID 7214257609, 3 clinicians

Practice addresses (Care Compare)

1550 N Crestmont Dr
Suite a
Meridian, ID 83642-2177
Phone (208) 288-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW- 28336IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Hope Counseling & Wellness Current Accepting new patients
Renewed Hope Counseling and Wellness LLC Clinical CurrentSince Jan 22, 2016 Accepting new patients

Locations

1550 N Crestmont Dr
Ste A
Meridian, ID 83642
Phone (208) 229-4201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1205025525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CAIRN DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512460",
            "telephone_number": "208-284-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAIRN DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512460",
            "telephone_number": "208-284-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "CATHERINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW- 28336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.