Johnathan Kraus, PH.D.
Individual provider Active NPI Mental Health Counselor · Garwood, NJ
NPI 1508692153 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1508692153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 662 Willow Ave # 2
Garwood, NJ 07027-1230 - Phone
- (323) 974-3537
- NPI assigned
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
662 Willow Ave # 2
Garwood, NJ 07027-1230
Mailing address
662 Willow Ave # 2
Garwood, NJ 07027-1230
Phone (323) 974-3537
Other providers in Garwood, NJ
- Lucy Isaac
- Ivyrehab Network, Inc.
- Immacula Jean-Charles
- Jonathan Dietz LLC
- Tae Keun Kim
- Romana Kulikova
- Marissa Kurtz
- Littles Thrive LLC
- Danielle N Manginelli
- Nicole Luisa Mazza
All providers in Garwood, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.