MEDICARE: DR. JOSEPH ROBERT KRIVOS LPCC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LICDC.161725	OH
2	101YP2500X	Professional Counselor	E.2001913-SUPV	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407362221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ROBERT KRIVOS LPCC-S

Provider Business Mailing Address
First Line	:	756 CARDINAL ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-2206
Country	:	US
Telephone Number	:	440-503-7452
Fax Number	:

Provider Business Practice Location Address
First Line	:	756 CARDINAL ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-2206
Country	:	US
Telephone Number	:	440-503-7452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	04/07/2026

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