Individual provider Active NPI

Stephanie Ann Krom, LSCSW

  • Clinical Social Worker
  • Hays, KS
National Provider Identifier
1336575232
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4976 Issued in KS
Practice address
208 E 7TH St
Hays, KS 67601-4139
Phone
(785) 628-2871
Fax
(785) 628-0330
NPI assigned
Sep 24, 2013
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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 4976 KS Primary

Addresses

Primary practice location

208 E 7TH St
Hays, KS 67601-4139

Mailing address

208 E 7TH St
Hays, KS 67601-4139
Phone (785) 628-2871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190815003260 KS Practitioner - Clinical Social Worker 2860729688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind and Body Healing Collective LLCGroup PAC ID 7416326962, 10 clinicians

Practice addresses (Care Compare)

2619 W 6TH St
Suite C
Lawrence, KS 66049-4300
Phone (785) 615-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4976KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Healing Collective, LLC Clinical CurrentSince Dec 1, 2022 Accepting new patients
High Plains Mental Health Center CurrentSince Aug 1, 2019 Accepting new patients

Locations

208 E 7th St
Hays, KS 67601
Phone (785) 628-2871

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.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1336575232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 7TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014139",
            "telephone_number": "785-628-2871",
            "fax_number": "785-628-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 7TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014139",
            "telephone_number": "785-628-2871",
            "fax_number": "785-628-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROM",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.