Individual provider Active NPI

Nichole Rae Krausch, MS, CRC, NCC

  • Counselor
  • Poteau, OK
National Provider Identifier
1881200558
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1507 S McKenna St
Poteau, OK 74953-5207
Phone
(918) 567-8121
Fax
(918) 647-8929
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1507 S McKenna St
Poteau, OK 74953-5207

Mailing address

41623 State Highway 63
Talihina, OK 74571-2184
Phone (918) 413-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240124003259 TX Practitioner - Mental Health Counselor 1456704618 Reassigns benefits to 1 organization
I20240229004664 OK Practitioner - Mental Health Counselor 1456704618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1149OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Jan 1, 2024 Accepting new patients
Center for Psychological Development, Inc. Counselor CurrentSince Jan 17, 2024 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 1, 2024 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

106 S 3rd St
McAlester, OK 74501
Phone (918) 421-8880

804 S Broadway St
Poteau, OK 74953
Phone (918) 647-9269

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

1105 Memorial Dr
Ste 202
Denison, TX 75020
Phone (903) 337-0343

Organizations & group practices 5

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1881200558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41623 STATE HIGHWAY 63",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745712184",
            "telephone_number": "918-413-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S MCKENNA ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535207",
            "telephone_number": "918-567-8121",
            "fax_number": "918-647-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSCH",
        "first_name": "NICHOLE",
        "middle_name": "RAE",
        "credential": "MS, CRC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.