Active NPI
Rachael Krupa, LLPC
- Counselor
- Port Huron, MI
National Provider Identifier
1487809042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401011128
- Practice address
- 520 Superior St
Port Huron, MI 48060-3838 - Phone
- (810) 984-4202
- Fax
- (810) 984-8896
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401011128 | MI | Primary |
Addresses
Primary practice location
520 Superior St
Port Huron, MI 48060-3838
Mailing address
520 Superior St
Port Huron, MI 48060-3838
Phone (810) 984-4202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251006000736 | MI | Practitioner - Mental Health Counselor | 2668978966 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Wayne State University School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
309 Huron Ave
Suite B
Port Huron, MI 48060-3869
53875 Hunters Crossing Dr
Shelby Township, MI 48315-2095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011128 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJL Consultants LLC | Current | Accepting new patients |
Locations
309 Huron Ave
Ste B
Port Huron, MI 48060
Phone (810) 689-9899
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": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1487809042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SUPERIOR ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603838",
"telephone_number": "810-984-4202",
"fax_number": "810-984-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603838",
"telephone_number": "810-984-4202",
"fax_number": "810-984-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPA",
"first_name": "RACHAEL",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401011128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.