Active NPI
Randall Scott Krieger, LPC, MA, MDIV.
- Mental Health Counselor
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 852 SW 15TH St
Redmond, OR 97756-2507 - Phone
- (503) 327-4049
- NPI assigned
- Jun 14, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
852 SW 15TH St
Redmond, OR 97756-2507
Mailing address
852 SW 15TH St
Redmond, OR 97756-2507
Phone (503) 327-4049
Other practice location 1
6950 SW Hampton St Ste 109
Tigard, OR 97223-8330
Phone (503) 327-4049
Other practice location 2
852 SW 15th St
Redmond, OR 97756-2507
Phone (503) 327-4049
Other practice location 3
6950 SW Hampton St Ste 109
Tigard, OR 97223-8330
Phone (503) 327-4049
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Counseling Center LLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073043915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "852 SW 15TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562507",
"telephone_number": "503-327-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 SW 15TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562507",
"telephone_number": "503-327-4049"
}
],
"practiceLocations": [
{
"address_1": "6950 SW Hampton St Ste 109",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972238330",
"country_code": "US",
"telephone_number": "503-327-4049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "852 SW 15th St",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977562507",
"country_code": "US",
"telephone_number": "503-327-4049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6950 SW Hampton St Ste 109",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972238330",
"country_code": "US",
"telephone_number": "503-327-4049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRIEGER",
"first_name": "RANDALL",
"middle_name": "SCOTT",
"credential": "LPC, MA, MDIV.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.