Eric Andrew Krog, M.A., L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4957 Issued in MA

Practice address

155 Airport Rd
Fitchburg, MA 01420-8142

Phone

(978) 343-6300

NPI assigned

Dec 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling and Assessment Clinic of Worcester LLCGroup PAC ID 8820145394, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Counseling & Assessment Clinic of Worcester LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1487863494

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275698920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HOLDEN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201738",
            "telephone_number": "508-852-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 AIRPORT RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208142",
            "telephone_number": "978-343-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROG",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lloyd Knutson, MD
• Peter Konneh, B.S.
• Dorcas Korir, NP-C
• Jean Elizabeth Kracher
• Heidi M Kraft, MSN, CNP, PMHNP
• Tyler Krom
• Methsara N Kruoch, RN
• Joy M Kukome, RN
• Yamini Kumar
• Kenneth K. Kwalar, MD

• Mental Health Counselor in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.