MEDICARE: BRIAN KRAUSE 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
1	101YP2500X	Professional Counselor	MH16664	FL

General Provider Information

NPI Number	:	1801353834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN KRAUSE LMHC

Provider Business Mailing Address
First Line	:	430 N MILLS AVE STE 4
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5746
Country	:	US
Telephone Number	:	407-423-0790
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 HILLCREST ST STE 201
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4715
Country	:	US
Telephone Number	:	407-205-9761
Fax Number	:

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

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	12/09/2025

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