Jean Leslie Kruger, M. A. , LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH30002352 Issued in WA

Practice address

3080 Lower Elwha Road
Port Angeles, WA 98363

Phone

(360) 452-8471

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1033431010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 E 7TH AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629017",
            "telephone_number": "360-457-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 LOWER ELWHA ROAD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98363",
            "telephone_number": "360-452-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "JEAN",
        "middle_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "M. A. ,  LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MH30002352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kopp
• Betsy L Kott-Flodstrom, MD
• Bradley Mark Krall, PA-C
• Kayla Elizabeth Kressler
• Christopher Kropf, MSW, LIACSW
• Deanna Kubas, RN
• Kelsey Kuhn, LMT
• Calvin Kuo, M.D.
• Emilie Kuster, DNP, ARNP
• Martin Labarge

• Mental Health Counselor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.