Individual provider Active NPI

Chelsea Rae Krayecki, LPC-IT

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1386362085
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7074-226 Issued in WI
Practice address
227400 Rib Mountain Dr Ste D
Wausau, WI 54401-5049
Phone
(715) 301-0667
Fax
(715) 870-2267
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7074-226 WI Primary

Addresses

Primary practice location

227400 Rib Mountain Dr Ste D
Wausau, WI 54401-5049

Mailing address

1733 Spruce St
Stevens Point, WI 54481-3630
Phone (920) 545-9805

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7074-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Caring Tree LLC PastSince Aug 28, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1386362085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 SPRUCE ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813630",
            "telephone_number": "920-545-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227400 RIB MOUNTAIN DR STE D",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015049",
            "telephone_number": "715-301-0667",
            "fax_number": "715-870-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYECKI",
        "first_name": "CHELSEA",
        "middle_name": "RAE",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7074-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.