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NPI Code Detail

MEDICARE: MS. EMILY SARAH KRAUSE LPC, LMHC

MEDICARE: MS. EMILY SARAH KRAUSE LPC, LMHC
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
1101YM0800XMental Health Counselor37AC00214200NJ
2101YM0800XMental Health Counselor11856MA
3101YP2500XProfessional Counselor37PC00560700NJ

General Provider Information

NPI Number : 1679989909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY SARAH KRAUSE LPC, LMHC
Provider Business Mailing Address
First Line : 2 LORING AVE
Second Line :
City : MAYNARD
State : MA
Zip : 01754-1128
Country : US
Telephone Number : 781-801-4611
Fax Number :
Provider Business Practice Location Address
First Line : 221 RIVER ST STE 9
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 347-566-2867
Fax Number : 609-772-4889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 01/30/2025

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