Elyssa Krmpotich, APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13853 Issued in CA

Practice address

3950 Long Beach Blvd Ste 101
Long Beach, CA 90807-5410

Phone

(562) 684-1300

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Psych Lab Psychology, Inc.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1811452196
  NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1427738970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 TEMPLE AVE APT 302",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145204",
            "telephone_number": "815-909-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 LONG BEACH BLVD STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075410",
            "telephone_number": "562-684-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRMPOTICH",
        "first_name": "ELYSSA",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kretzschmar, M.A., LMFT
• Katelyn Kriegel, NP
• Robert Douglas Krisel, CMT
• Krishna N. Manvi, M.D., Inc.
• Savithri Krishnamurthy, MD
• Josephine Jane Kruchko, LCSW
• James Jerome Krueger, M.D.
• Jillian Krueger
• Aaron Berro Krugman
• Kathleen Krupinski

• Professional Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.