Active NPI
Mandy M Krueger, MS, CRC, LPC
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1144510165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4327-125
- Practice address
- 7251 W North Ave
Wauwatosa, WI 53213-1851 - Phone
- (414) 258-3700
- NPI assigned
- Apr 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4327-125 | WI | Primary |
Addresses
Primary practice location
7251 W North Ave
Wauwatosa, WI 53213-1851
Mailing address
4409 W Morgan Ave
Greenfield, WI 53220-1516
Phone (414) 837-4152
Other names 1
- Ms. Mandy M Enright
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4327-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1144510165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 W MORGAN AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532201516",
"telephone_number": "414-837-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7251 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131851",
"telephone_number": "414-258-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "MANDY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS, CRC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4327-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "ENRIGHT",
"middle_name": "M",
"prefix": "MS.",
"credential": "MS, CRC, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.