Shannon A Kratky, MS, LPC, LCDC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81460 Issued in TX

Practice address

3201 Cherry Ridge Dr Ste C316
San Antonio, TX 78230-4823

Phone

(210) 791-7017

Fax

(830) 323-0144

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Courageous Story Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
  • NPI 1659022424
  NPD Authorized official
• Bexar County Board of Trustees for Mental Health Mental Retardation

  • Counselor
  • San Antonio, TX
  • NPI 1730134586
  NPD (past)
• Bexar County Board of Trustess for Mental Health and Mental Retardatio

  • Clinical Medical Laboratory
  • San Antonio, TX
  • NPI 1215353826
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1932756780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE C316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-791-7017",
            "fax_number": "830-323-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE C316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-791-7017",
            "fax_number": "830-323-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATKY",
        "first_name": "SHANNON",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, LCDC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15007",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elaine Kramer
• Kevin Kramer, LCSW
• Nikole Kramer
• Melissa Marie Kranning, BCBA, LBA
• Kristin Krape, LVN
• Carol Carroll Kratochvil, LCDC
• Kyle William Kratzenberg, M.S., A.T.C., L.A.T.
• Elena Krauklis, OTA
• Kevin John Krauland, M.D.
• Eric Kraus, MD

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.