Erica Robin Krahl, MA

Individual provider Active NPI Professional Counselor · Coal City, IL

NPI 1376770545 · NPPES record last updated Jun 16, 2009

Key facts

NPI
1376770545
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180003246 (IL)
Practice address
275 S Broadway St
Suite 2
Coal City, IL 60416-1699
Phone
(815) 634-3994
Fax
(815) 634-2738
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180003246ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling, P.C. Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180003246 IL Yes

Addresses

Primary practice location

275 S Broadway St
Suite 2
Coal City, IL 60416-1699

Mailing address

275 S Broadway St
Suite 2
Coal City, IL 60416-1699
Phone (815) 634-3994

Other providers in Coal City, IL

All providers in Coal City, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.