Individual provider Active NPI

Denise C Kraus, LPCC

  • Professional Counselor
  • Agoura, CA
National Provider Identifier
1679878631
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL4578 Issued in ME
Practice address
30300 Agoura Rd
Agoura, CA 91301-5400
Phone
(818) 532-7950
NPI assigned
Jan 21, 2011
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X XL4578 ME Primary

Addresses

Primary practice location

30300 Agoura Rd
Agoura, CA 91301-5400

Mailing address

1957 Los Feliz Dr Apt 264
Thousand Oaks, CA 91362-5515
Phone (541) 292-1545

Other practice location 1

1957 Los Feliz Dr Apt 264
Thousand Oaks, CA 91362-5515
Phone (541) 292-1545

Other identifiers 1

IdentifierTypeStateIssuer
LPCC7941OtherCABOARD OF BEHAVIORAL SCIENCES, CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240111001850 CA Practitioner - Mental Health Counselor 3678924982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

555 Marin St
Suite 180
Thousand Oaks, CA 91360-4104
Phone (805) 273-8752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL4578MEMDProfessional Counselor
7941CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Soultenders Psychological Services, Inc. CurrentSince Jun 29, 2026 Accepting new patients
Sweetser Past Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

555 Marin St
Ste 180
Thousand Oaks, CA 91360
Phone (626) 701-4249

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1679878631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 LOS FELIZ DR APT 264",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913625515",
            "telephone_number": "541-292-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 AGOURA RD",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913015400",
            "telephone_number": "818-532-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1957 Los Feliz Dr Apt 264",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913625515",
            "country_code": "US",
            "telephone_number": "541-292-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "DENISE",
        "middle_name": "C",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES, CALIFORNIA",
            "identifier": "LPCC7941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura, CA

Sources for this page

Verify at the official NPI Registry.