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MARY ELIZABETH KRUSAC
NPI 1003578253
Counselor - Mental Health in Dallas, GA

Active since October 05, 2021PECOS Enrolled
118 BIRCH RIVER CT, DALLAS, GA 30132(678) 744-8417 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Elizabeth Krusac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH KRUSAC (NPI 1003578253) is an individual mental health provider in Dallas, Georgia, licensed in Georgia (LMSW008594) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003578253
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY ELIZABETH KRUSAC
Location Address118 BIRCH RIVER CTDallas, GA 30132-5575
Mailing Address118 Birch River CtDallas, GA 30132-5575 · (678) 744-8417
Phone(678) 744-8417
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1003578253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LMSW008594
118 BIRCH RIVER CT, Dallas, GA 30132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Krusac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395216725
PECOS Enrollment IDI20260608000620
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Christine ***** July 9, 2025

5/5
Beth is caring, empathetic, and very easy to talk to. I’ve been in therapy for more than 10 years and she is the best I’ve had. I’ve only had a few appointments with her and have learned so much.
Provider 5/5
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Krusac's NPI number?

The NPI number for Mary Krusac is 1003578253. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Mary Krusac located?

Mary Krusac practices at 118 Birch River Ct, Dallas, GA 30132. The listed phone number is (678) 744-8417.

What is Mary Krusac's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Krusac enrolled in Medicare?

Yes. Mary Krusac is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Krusac was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.