Provider Demographics
NPI:1700316700
Name:KRAUSS, JAMIE LEE (LPCC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:KRAUSS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:BRUNNET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1791 ALUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1757
Mailing Address - Country:US
Mailing Address - Phone:614-445-8131
Mailing Address - Fax:
Practice Address - Street 1:100 NOE BIXBY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1460
Practice Address - Country:US
Practice Address - Phone:614-445-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHC.LH.61147278101YP2500X
CALPCC8739101YP2500X
ORC6059101YP2500X
OHS.1450816104100000X
OHE.2202998101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker