Mark Allan Krencik, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

25374 Issued in TX

Practice address

405 N McDonald St Ste B
McKinney, TX 75069-3911

Phone

(972) 542-4144

Fax

(972) 542-4154

NPI assigned

May 11, 2017

Sex

Male

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

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.

• Addiction Services

  dba CMS Medpro

  • Methadone Clinic
  • McKinney, TX
  • NPI 1457062119

  Addiction (Substance Use Disorder)

  NPD (past)
• Addiction Services

  dba MedPro Treatment Centers-Mckinney

  • Methadone Clinic
  • McKinney, TX
  • NPI 1477853935

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1619403466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAPLE ST",
            "address_2": "UNIT B",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278303",
            "telephone_number": "940-440-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MCDONALD ST STE B",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693911",
            "telephone_number": "972-542-4144",
            "fax_number": "972-542-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENCIK",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "25374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Krall, SLP
• Carmen Kramer, LPC
• Sarah H Kramer, PHD
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• Amy Kreins, PHD
• Stephanie Duran Kriesel, OTR
• Kristine Eguia NP PLLC (Solaia Health)
• Marc D Krock, MD
• Kroger Texas L P (Kroger Pharmacy)
• Kroger Texas L P (Kroger Pharmacy)

• Addiction (Substance Use Disorder) Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.