Bruce Kraeger, CASAC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

40253 Issued in NY

Practice address

500 Whitesboro St
Utica, NY 13502-3015

Phone

(315) 724-5168

NPI assigned

Mar 28, 2024

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight House Chemical Dependency Services Inc

  • Public Health or Welfare Agency
  • Utica, NY
  • NPI 1235110404
  NPD (past)

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1043061039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10259 ROBERTS RD",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134563501",
            "telephone_number": "315-405-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-724-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEGER",
        "first_name": "BRUCE",
        "credential": "CASAC-II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "40253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieanne Koury, M.S. ED., CCC-SLP
• Liliya A Kovalevich, LMSW
• John S. Kowalczyk, D.D.S.
• Lauren L Kozak, PT
• Taylor Kozlowski, PHARMD
• Aishwarya Krishnaiah, M.D.
• Megan Krol, PHYSICAL THERAPIST
• Jake Bryan Kruchinski
• Mary Margaret Krukonis, RN
• Marycatherine Krul, CASAC

• Addiction (Substance Use Disorder) Counselor in Utica, NY
• Providers in Utica, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.