KRYSTLE KRAUSS (NPI# 1902314388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902314388 |
| Entity Type | Individual |
| Full Name | KRYSTLE KRAUSS |
| Credential | CADC |
| Practice Address |
1523 S Fairmount St Davenport IA 52802-3644 |
| Mailing Address |
Po Box 909 Bettendorf IA 52722-0016 |
| Practice Telephone | 5633222667 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1523 S FAIRMOUNT ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52802-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
| 1891394003 | Traci Anne Swift | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2020-10-19 |
| 1831747922 | Heather Snyder | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2019-08-31 |
| 1811481450 | Robert Young Center for Community Mental Health | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-06-18 |
| 1235637869 | Mica Rae Frandsen | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-29 |
| 1083112098 | Annalyse Gratzek | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-24 |
| 1386142529 | Daniella T'iara Harris Campbell | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-23 |
| 1699283036 | Jennifer Lynn Hunter | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1215445689 | Jesse Hamerlinck | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
| 1467960906 | Vickie Lynne Streicher | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1902033673 | Angela C Wells | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1891922563 | Christy A Carter | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1548892359 | Annemarie Irene Chambliss | Counselor | 1202 W 3rd St, Davenport, IA 52802-1344 | 2020-02-10 |
| 1457909103 | Margaret Olin Meloy | Social Worker | 1202 W 3rd St, Davenport, IA 52802-1344 | 2019-08-27 |
| 1629544929 | Rebecca Schroeder | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-15 |
| 1225503832 | Nora Elizabeth Wenzel | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-10 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862364 | Brandelyn Jo Avants | Counselor | 906 Northbrook Dr, Davenport, IA 52806-3730 | 2020-05-13 |
| 1124581848 | Lina Marcela Mendez-agudelo | Counselor | 300 Bridgewater Dr, Davenport, FL 33897-8805 | 2019-04-09 |
| 1669970844 | Aubrey Cartwright | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-01-23 |
| 1710416433 | Lisa Hannigan Carter | Counselor | 232 Village Ct, Davenport, FL 33896-5222 | 2017-06-06 |
| 1669918389 | Hector Armando Meneses IIi | Counselor | 1111 W 16th St, Davenport, IA 52804-3707 | 2017-01-19 |
| 1275088114 | Matthew John Martenson | Counselor | 2028 E 38th St Ste 4, Davenport, IA 52807-1168 | 2016-08-21 |
| 1023427804 | Tisha Albury | Counselor | 754 Rollins Dr, Davenport, FL 33837-7219 | 2014-08-06 |
| 1972814242 | Henry Milton Dugan Jr. | Counselor | 4800 Grand Ave Apt E205, Davenport, IA 52807-1038 | 2010-07-01 |
| 1972739951 | Stephanie Christine Littell | Counselor | 1211 Merriam St, Davenport, WA 99122-8654 | 2009-06-04 |
| 1215170352 | Jorge Texidor | Counselor | 1441 Lexington Ave, Davenport, FL 33837-1705 | 2009-04-18 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.