Active NPI
Jennifer Kraus
- Counselor
- Staten Island, NY
National Provider Identifier
1831551845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 096210-1
- Practice address
- 45 Boulder St
Staten Island, NY 10312-2227 - Phone
- (646) 258-2767
- NPI assigned
- Mar 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 096210-1 | NY | Primary |
| Mental Health Counselor | 101YM0800X | 096210-1 | NY |
Addresses
Primary practice location
45 Boulder St
Staten Island, NY 10312-2227
Mailing address
45 Boulder St
Staten Island, NY 10312-2227
Phone (646) 258-2767
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 |
|---|---|---|---|
| 096210-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1831551845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 BOULDER ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122227",
"telephone_number": "646-258-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 BOULDER ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122227",
"telephone_number": "646-258-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "096210-1",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "096210-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.