Blake Kritz, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

14625 NE 23Rd St
Choctaw, OK 73020-8728

Phone

(405) 390-8131

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Tri-City Youth & Family Center, Inc.

  • Community/Behavioral Health Agency
  • Choctaw, OK
  • NPI 1588812895
  NPD (past)
• Tri-City Youth & Family Center, Inc.

  • Mental Health Counselor
  • Choctaw, OK
  • NPI 1881775211
  NPD (past)

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1801530282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 SHADY TREE LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135665",
            "telephone_number": "405-390-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 NE 23RD ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208728",
            "telephone_number": "405-390-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZ",
        "first_name": "BLAKE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaelanne Kelly, PTA
• Jenna Kerdus
• Kimberly Sue Khan, ARNP
• Kandus Kimball
• Matthew Kirkendall, RN
• Sally Abigail Kritz, B.A.
• Lactation Care Consulting LLC
• Tiffany D Lakin
• T'Asia Tyrel Lashane Laskey
• Leslie Katharine Rogers

• Counselor in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.