Individual provider Active NPI

Rachel Krakora, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1831634377
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027853 Issued in OH
Practice address
822 Kumho Dr Ste 101
Fairlawn, OH 44333-9298
Phone
(330) 576-0126
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN.376126 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027853 OH Primary

Addresses

Primary practice location

822 Kumho Dr Ste 101
Fairlawn, OH 44333-9298

Mailing address

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

Other practice location 1

3591 Reserve Commons Dr Unit U-2
Medina, OH 44256-5334
Phone (216) 450-1613

Other practice location 2

2351 E 22nd St
Cleveland, OH 44115-3111
Phone (216) 363-7016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217002348 OH Practitioner - Nurse Practitioner 1153733043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

13550 Falling Water Rd
Suite 300
Strongsville, OH 44136-4360
Phone (216) 468-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.376126OHMDAddiction (Substance Use Disorder) Registered Nurse
APRN.CNP.0027853OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Apr 26, 2025 Accepting new patients
Advanced Recovery Concepts LLC Psychiatric/Mental Health CurrentSince Jan 15, 2021 Accepting new patients
Advanced Spine Joint and Wellness Center PastSince Nov 1, 2020 Accepting new patients

Locations

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

822 Kumho Dr
Ste 101
Fairlawn, OH 44333
Phone (330) 576-0126

3591 Reserve Commons Dr
Unit U2
Medina, OH 44256

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

13550 Falling Water Rd
Ste 300
Strongsville, OH 44136
Phone (440) 998-7541

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.rachelkrakora@140094.advancedmd-direct.com

Organizations & group practices 3

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1831634377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339298",
            "telephone_number": "330-576-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3591 Reserve Commons Dr Unit U-2",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565334",
            "country_code": "US",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153111",
            "country_code": "US",
            "telephone_number": "216-363-7016",
            "fax_number": "216-592-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKORA",
        "first_name": "RACHEL",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.376126",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.