Amy Renae Krites, MSW, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I.1700724 Issued in OH

Practice address

1130 Wapakoneta Ave
Sidney, OH 45365-1461

Phone

(937) 658-6242

NPI assigned

Dec 21, 2018

Sex

Female

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

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspace Therapeutics LLCGroup PAC ID 4880020395, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellspace Therapeutics, LLC

  • Mental Health Counselor
  • Sidney, OH
  • NPI 1821647181
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1700358272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WAPAKONETA AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651461",
            "telephone_number": "937-658-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WAPAKONETA AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651461",
            "telephone_number": "937-658-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITES",
        "first_name": "AMY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1700724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Maryruth Knoop, FNP
• H. Bruce Koch, MD
• Colleen Kortokrax
• Brian Hugh Kramer, P.T
• Kambrilyn Kratzer
• Kroger Limited Partnership I (Kroger Pharmacy)
• Krista Kron, RN
• Angela Kruk, DDS
• Amanda Marie Lafferty, LPC
• Kristie Lynn Lambert, CNP

• Mental Health Counselor in Sidney, OH
• Providers in Sidney, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.

Verify at the official NPI Registry.