Tonice Krueger, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006082 Issued in VA

Practice address

4566 E Highway 20 Ste 104
Niceville, FL 32578-8839

Phone

(850) 842-2424

NPI assigned

Mar 30, 2010

Last updated

May 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Krueger Integrative Care, LLC

  • Adult Mental Health Clinic/Center
  • Woodbridge, VA
  • NPI 1174180822

  FL

  Medicare reassignment NPD Authorized official
• Krueger Wellness Institute Inc

  dba Krueger Integrative Psychological Services

  • Clinical Psychologist
  • Niceville, FL
  • NPI 1518526144
  Medicare reassignment Authorized official
• Community Research Foundation Inc

  dba Douglas Young Youth and Family Services

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1689897100
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1184949398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E HIGHWAY 20 STE 104",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788839",
            "telephone_number": "850-842-2424",
            "fax_number": "850-897-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E HIGHWAY 20 STE 104",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788839",
            "telephone_number": "850-842-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7907 Ostrow St",
            "address_2": "Suite F, Bldg. 1",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921113635",
            "country_code": "US",
            "telephone_number": "858-300-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4467 New Market Rd",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325784915",
            "country_code": "US",
            "telephone_number": "619-865-9399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 E Highway 20 Ste 306",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325787703",
            "country_code": "US",
            "telephone_number": "850-842-2424",
            "fax_number": "850-897-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "TONICE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kotowske, PHARMD
• Christo W Koulisis, MD
• Endre Kovacs, M.D.
• Alyssia Kraemer
• Krueger Wellness Institute Inc (Krueger Integrative Psychological Services)
• Stephanie Lacorte
• Abbey Christine Ladd
• Margaret Lynn Laforge, APRN
• Jennifer Landry, LMT
• Elizabeth Lange

• Clinical Psychologist in Niceville, FL
• Providers in Niceville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.