Active NPI
Amanda Kruger
- Professional Counselor
- Wheat Ridge, CO
National Provider Identifier
1043741630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0014866
- Practice address
- 6662 W 38TH Ave
Wheat Ridge, CO 80033-4906 - Phone
- (720) 262-9100
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0014866 | CO | Primary |
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | LPCC.0014797 | CO |
Addresses
Primary practice location
6662 W 38TH Ave
Wheat Ridge, CO 80033-4906
Mailing address
14211 E 4TH Ave Ste 3138
Aurora, CO 80011-8736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0014866 | CO | MD | Professional Counselor |
| LPCC.0014797 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Well Counseling PLLC | Professional | Current | Accepting new patients |
Locations
6662 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 720-6190
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Wheat Ridge, CO
- NPI 1477269926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1043741630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14211 E 4TH AVE STE 3138",
"city": "AURORA",
"state": "CO",
"postal_code": "800118736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6662 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334906",
"telephone_number": "720-262-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0014866",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0014797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.