Individual provider Active NPI

Henry C Krol Jr., LPC CAC DIPLOMATE

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1952470825
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002807 Issued in PA
Practice address
4320 Dexter Ave
Erie, PA 16504-2444
Phone
(814) 825-2930
Fax
(814) 825-2964
NPI assigned
Nov 7, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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) Counselor 101YA0400X PC002807 PA
Professional Counselor 101YP2500X PC002807 PA Primary

Addresses

Primary practice location

4320 Dexter Ave
Erie, PA 16504-2444

Mailing address

4320 Dexter Ave
Erie, PA 16504-2444
Phone (814) 825-2930

Other identifiers 1

IdentifierTypeStateIssuer
1641336OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240607001608 PA Practitioner - Mental Health Counselor 9638611403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abcs of Building Better Lives LLCGroup PAC ID 9931367950, 16 clinicians

Practice addresses (Care Compare)

4320 Dexter Ave
Eric, PA 16504-2444
Phone (814) 825-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC002807PAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abcs of Building Better Lives LLC Professional CurrentSince Jun 1, 2024 Accepting new patients

Locations

4320 Dexter Ave
Erie, PA 16504
Phone (814) 825-2930

5934 Old French Rd
Erie, PA 16509
Phone (814) 825-2930

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1952470825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042444",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042444",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROL",
        "first_name": "HENRY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "LPC CAC DIPLOMATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC002807",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1641336",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.