Active NPI
Kelli Renae Krage
- Mental Health Counselor
- Winona, MN
National Provider Identifier
1750148060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 111 Riverfront Ste 410
Winona, MN 55987-3563 - Phone
- (507) 474-6264
- Fax
- (507) 218-8553
- NPI assigned
- Mar 4, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
111 Riverfront Ste 410
Winona, MN 55987-3563
Mailing address
111 Riverfront Ste 410
Winona, MN 55987-3563
Phone (507) 474-6264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woods Psychological Services LLC | Mental Health | Current | Accepting new patients |
Locations
111 Riverfront
Ste 410
Winona, MN 55987
Phone (507) 218-1002
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": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1750148060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RIVERFRONT STE 410",
"city": "WINONA",
"state": "MN",
"postal_code": "559873563",
"telephone_number": "507-474-6264",
"fax_number": "507-218-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RIVERFRONT STE 410",
"city": "WINONA",
"state": "MN",
"postal_code": "559873563",
"telephone_number": "507-474-6264",
"fax_number": "507-218-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAGE",
"first_name": "KELLI",
"middle_name": "RENAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.