Individual provider Active NPI

Maria Dee Kruger, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1154875763
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012273 Issued in CO
Practice address
3230 E Woodmen Rd Ste 110B
Colorado Springs, CO 80920-8502
Phone
(719) 301-9538
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0012273 CO Primary

Addresses

Primary practice location

3230 E Woodmen Rd Ste 110B
Colorado Springs, CO 80920-8502

Mailing address

3230 E Woodmen Rd Ste 110B
Colorado Springs, CO 80920-8502
Phone (719) 301-9538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 28, 2025 through Jul 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0012273COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1154875763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD STE 110B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208502",
            "telephone_number": "719-301-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E WOODMEN RD STE 110B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208502",
            "telephone_number": "719-301-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "MARIA",
        "middle_name": "DEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.