Healthcare Provider Details

I. General information

NPI: 1871457549
Provider Name (Legal Business Name): KEVIN KRAFT LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 GOLDEN HILL LN
KINGSTON NY
12401-6452
US

IV. Provider business mailing address

180 WITTENBERG RD
BEARSVILLE NY
12409-5642
US

V. Phone/Fax

Practice location:
  • Phone: 845-486-2703
  • Fax: 845-383-1729
Mailing address:
  • Phone: 845-452-1110
  • Fax: 845-790-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number129681
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: