Individual provider Active NPI

Beth Marie Krayenhagen, MSW

  • Professional Counselor
  • Coralville, IA
National Provider Identifier
1851890099
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
083297 Issued in IA
Practice address
1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone
(319) 804-9312
Fax
(319) 449-3845
NPI assigned
Feb 2, 2018
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 083297 IA Primary

Addresses

Primary practice location

1150 5TH St Ste 270
Coralville, IA 52241-2933

Mailing address

1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone (319) 804-9312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126002014 IA Practitioner - Clinical Social Worker 6507270998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Counseling Services PLLCGroup PAC ID 9234612052, 17 clinicians

Practice addresses (Care Compare)

2240 9TH St
Suite 4
Coralville, IA 52241-1507
Phone (319) 800-5564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083297IAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons, a Family Service Alliance PastSince Jul 1, 2005 Accepting new patients
Horizons, a Family Service Alliance Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1851890099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYENHAGEN",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "083297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.