Ellyn Kravette, MSW, CADC,CFAE,CEAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4776 Issued in PA

Practice address

710 Frable Rd
Brodheadsville, PA 18322-7718

Phone

(570) 764-4706

NPI assigned

Oct 2, 2006

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• E. Nightingale Enterprises, Inc.

  dba Open Door Workplace Counseling Initiatives

  • Social Worker
  • Broadheadsville, PA
  • NPI 1861589079
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1972696664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 FRABLE ROAD",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-764-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FRABLE RD",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227718",
            "telephone_number": "570-764-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVETTE",
        "first_name": "ELLYN",
        "credential": "MSW, CADC,CFAE,CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "7786",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "4776",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW012506L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinsleys Market of Tannersville Inc
• Kirit K Kothari MD PC
• Ardeana Y Kirkland, CRNP
• Lynn Knappenberger, PHARMD
• Joseph Kohm
• Doris M Lane
• Lehigh Physician Group
• Lehigh Valley Physician Group (LVPG Family Medicine - Brodheadsville)
• Life Is Good Chiropractic
• Stacey Evelyn Lokuta

• Addiction (Substance Use Disorder) Counselor in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.