Deborah Kriegel LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEBORAH KRIEGEL LLC

Practice address

2410 Grape Rd Ste 1
Mishawaka, IN 46545-3015

Phone

(574) 243-9370

Fax

(574) 243-9375

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Deborah Kriegel, LMHCNPI 1871581793

Title

Ceo

Phone

(574) 514-9646

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah K Kriegel, LMHC

  • Mental Health Counselor
  • Mishawaka, IN
  • NPI 1871581793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1073183315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 GRAPE RD STE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453015",
            "telephone_number": "574-243-9370",
            "fax_number": "574-243-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 GRAPE RD STE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453015",
            "telephone_number": "574-243-9370",
            "fax_number": "574-243-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH KRIEGEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KRIEGEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-514-9646",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5742439375",
            "affiliation": "N",
            "endpointDescription": "Secure fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2410 Grape Rd Ste 1",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465453015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DD Rehab & Therapy Services LLC
• Maurine De la Paz, PHARMD
• Darryl Deal
• Shermiah Dean
• Dale Dennis Deardorff, M.D.
• Laura Decastor, MD
• John M Decelles, M.D.
• Lindsey A. Decicco, PTA
• Kurtis Dejong, MD
• Del Pilar Medical & Urgent Care PC

• Mental Health Counselor in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.