Individual provider Active NPI

Virginia Krauft, ED.D

  • Counseling Psychologist
  • Rogers, AR
National Provider Identifier
1487675229
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
74-6P Issued in AR
Practice address
1601 Rainbow Rd
Rogers, AR 72758-8821
Phone
(479) 254-1144
Fax
(479) 254-1099
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 74-6P AR Primary

Addresses

Primary practice location

1601 Rainbow Rd
Rogers, AR 72758-8821

Mailing address

1601 Rainbow Rd
Rogers, AR 72758-8821
Phone (479) 254-1144

Other identifiers 1

IdentifierTypeStateIssuer
117061719MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000615 AR Practitioner - Clinical Psychologist 5193753424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 Rainbow Rd
Rogers, AR 72758-8821

901 S Rainbow Rd
Rogers, AR 72758-3786
Phone (479) 254-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74-6PARMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychology, PA CurrentSince Aug 23, 2011 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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1487675229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588821",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588821",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUFT",
        "first_name": "VIRGINIA",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "74-6P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117061719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.