Active NPI
Robert Mack Krauss, CASAC (ON HOLD)
- Professional Counselor
- Long Beach, NY
National Provider Identifier
1992015069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9503 (INACTIVE)
- Practice address
- 455 E Bay Dr
Long Beach, NY 11561-2301 - Phone
- (516) 897-1330
- Fax
- (516) 897-1149
- NPI assigned
- Oct 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9503 (INACTIVE) | NY | Primary |
Addresses
Primary practice location
455 E Bay Dr
Long Beach, NY 11561-2301
Mailing address
455 E Bay Dr
Long Beach, NY 11561-2301
Phone (516) 897-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9503 (INACTIVE) | NY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1992015069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E BAY DR",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612301",
"telephone_number": "516-897-1330",
"fax_number": "516-897-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E BAY DR",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612301",
"telephone_number": "516-897-1330",
"fax_number": "516-897-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSS",
"first_name": "ROBERT",
"middle_name": "MACK",
"name_prefix": "Mr.",
"credential": "CASAC (ON HOLD)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "9503 (INACTIVE)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.