Active NPI
Kathryn R. Krecker, LMFT
- Marriage & Family Therapist
- Sandy Hook, CT
National Provider Identifier
1770698243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001083
- Practice address
- 24 Glen Rd
Sandy Hook, CT 06482-1124 - Phone
- (203) 426-9698
- Fax
- (203) 426-9698
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001083 | CT | Primary |
Addresses
Primary practice location
24 Glen Rd
Sandy Hook, CT 06482-1124
Mailing address
24 Glen Rd
Sandy Hook, CT 06482-1124
Phone (203) 426-9698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410001083CT01 | Other | CT | ANTHEM BC & BS |
| 340301 | Other | CT | MHN/HEALTH NET |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001083 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770698243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GLEN RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821124",
"telephone_number": "203-426-9698",
"fax_number": "203-426-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 GLEN RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821124",
"telephone_number": "203-426-9698",
"fax_number": "203-426-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRECKER",
"first_name": "KATHRYN",
"middle_name": "R.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "410001083CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/HEALTH NET",
"identifier": "340301",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.