Individual provider Active NPI

Maria Adela Krause

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1205106028
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5740 Issued in NV
Practice address
4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone
(702) 474-6450
Fax
(702) 474-6463
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00651-C NV
Addiction (Substance Use Disorder) Psychologist 103TA0400X 06897-IG NV
Clinical Child & Adolescent Psychologist 103TC2200X CI3069 NV
Professional Counselor 101YP2500X CP5740 NV Primary

Addresses

Primary practice location

4221 McLeod Dr
Las Vegas, NV 89121-5215

Mailing address

5854 Crumbling Ridge St
Henderson, NV 89011-1640
Phone (702) 574-7475

Other practice location 1

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250307001272 NV Practitioner - Mental Health Counselor 6103347083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Counseling Associates IncGroup PAC ID 4486914975, 16 clinicians

Practice addresses (Care Compare)

4221 McLeod Dr
Las Vegas, NV 89121-5215
Phone (702) 474-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00651-CNVMDAddiction (Substance Use Disorder) Counselor
06897-IGNVMDAddiction (Substance Use Disorder) Psychologist
CI3069NVMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling Associates, Inc CurrentSince Nov 30, 2024 Accepting new patients
Bridge Counseling Associates, Inc CurrentSince Nov 30, 2024 Accepting new patients

Locations

1640 Alta Dr
Ste 4
Las Vegas, NV 89106
Phone (702) 474-6450

4221 McLeod Dr
Las Vegas, NV 89121
Phone (702) 474-6450

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1205106028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5854 CRUMBLING RIDGE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111640",
            "telephone_number": "702-574-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215215",
            "telephone_number": "702-474-6450",
            "fax_number": "702-474-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Alta Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064165",
            "country_code": "US",
            "telephone_number": "702-474-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "MARIA",
        "middle_name": "ADELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00651-C",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06897-IG",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "CI3069",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.