Healthcare Provider Details

I. General information

NPI: 1073760518
Provider Name (Legal Business Name): HARLAN JUSTIN KROFF LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 COUNTY RD
IPSWICH MA
01938-2501
US

IV. Provider business mailing address

82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US

V. Phone/Fax

Practice location:
  • Phone: 978-230-7824
  • Fax:
Mailing address:
  • Phone: 508-475-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8020
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: