Stacey Marie Kreitz, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49183 Issued in CA

Practice address

79 E Main St Ste 303
Lititz, PA 17543-1941

Phone

(805) 295-0458

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey Marie Grotemeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 19, 2024 through Sep 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1356450266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E MAIN ST STE 303",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431941",
            "telephone_number": "805-295-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E MAIN ST STE 303",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431941",
            "telephone_number": "805-295-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITZ",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001336",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "GROTEMEYER",
            "middle_name": "MARIE",
            "credential": "MFT INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Koppenal
• Karly Kosek, LAT, ATC
• Calie Mae Kraft, OT
• Robert Kraus, MD
• Andrea Krebs, SLP
• Austin Krout, LMT
• Courtney Jane Kruscavage
• KS PC
• Amy Kulkarni
• Jerry Kuriakose, PHARMD

• Marriage & Family Therapist in Lititz, PA
• Providers in Lititz, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.