Kaitlyn Jolee Krejcik

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4250 Fowler LN Ste 204
Diamond Springs, CA 95619-9782

Phone

(916) 342-2678

Fax

(530) 642-1233

NPI assigned

May 25, 2021

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

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.

• Sierra Child and Family Services

  • Community/Behavioral Health Agency
  • Diamond Springs, CA
  • NPI 1144343609
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1972178614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1987",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956191987",
            "telephone_number": "916-342-2678",
            "fax_number": "530-642-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FOWLER LN STE 204",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199782",
            "telephone_number": "916-342-2678",
            "fax_number": "530-642-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREJCIK",
        "first_name": "KAITLYN",
        "middle_name": "JOLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Kalar, LMFT
• Mary Ellen Kanze, MFT
• Gabrielle Kenngott
• Wendy Knutson
• Patricia Kolberg, LMFT
• Yuliya Kyrylyuk, MD
• Toby Y. Landis, PHD
• Ady Langer, LCSW
• Kathleen A Langley
• Angelique Danielle Laprise, SUDRC #12534

• Case Manager/Care Coordinator in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.