Krise Health Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISE HEALTH SERVICES LLC

Practice address

4 Haddonfield Rd Ste 222
Cherry Hill, NJ 08002-1467

Phone

(215) 313-1989

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Chinyere UbahNPI 1770907784

Title

Credentialing Specialist

Phone

(410) 213-5494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Krise Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Krise Health Services LLC

  • Primary Care Clinic/Center
  • Cherry Hill, NJ
  • NPI 1790491306
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinyere Evangeline Ubah, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Berlin, NJ
  • NPI 1770907784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1386340495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 QUIET RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815628",
            "telephone_number": "609-248-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HADDONFIELD RD STE 222",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021467",
            "telephone_number": "215-313-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "UBAH",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-213-5494"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleana Kriebel
• Kirstin Krieger
• Aj Krimin
• Evan B Krisch, MD
• Jessica Ann Krischik
• Krise Health Services LLC
• Alexis Kristen, PT
• KRN Counseling LLC
• Julie Krug, LCSW
• Victoria Noreen Krug, LAC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.