Laura Marie Kracker, M.A. LIMITED LICENSE

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301011342 Issued in MI

Practice address

122 W South St
Kalamazoo, MI 49007-4711

Phone

(269) 349-4219

Fax

(269) 349-5107

NPI assigned

Apr 11, 2007

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 Arts

State licenses

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.

• Kalamazoo Psychology

  • Psychologist
  • Kalamazoo, MI
  • NPI 1306145420
  NPD (past)
• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902029481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219",
            "fax_number": "269-349-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219",
            "fax_number": "269-349-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACKER",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "M.A. LIMITED LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LICENSE PSYCHOLOG",
            "identifier": "6301011342",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dave Kovacs, M.D.
• Jacqueline Kowalke, DO
• Evan Joseph Kowalski, DDS
• Marisa Rashel Kowalski, LLMSW
• Tiffany Susan Kowalski, RN
• Kimberly Anne Kragt, MA, CCC-A
• Michael Kranak, BCBA
• Karrie E Kranz, PA
• Barbara Teresa Krause, LMSW
• Teresa Krause

• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.