Kenneth John Katricak I, LPC is a
Counselor - Mental Health based in Elyria, Ohio. Kenneth John Katricak I is licensed to practice in Ohio (license number C1801465) and his current practice location is
1131 E Broad St, Elyria, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 270-7464.
NPI number for Kenneth John Katricak I is 1952991051 and his current mailing address is 1131 E Broad St, Elyria, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952991051.
Provider's Profile
Full Name | Kenneth John Katricak I |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 1131 E Broad St, Elyria, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952991051
- Provider Enumeration Date: 01/22/2021
- Last Update Date: 01/22/2021
Medical Identifiers
Medical identifiers for Kenneth John Katricak I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952991051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | RN212255 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | C1801465 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth John Katricak I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth John Katricak I, LPC 1131 E Broad St, Elyria, OH 44035-6305 Ph: (216) 270-7464 | Kenneth John Katricak I, LPC 1131 E Broad St, Elyria, OH 44035-6305 Ph: (216) 270-7464 |
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