Active NPI
Elizabeth Krueger, M.S.
- Professional Counselor
- Wausau, WI
National Provider Identifier
1205242245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2115-226
- Practice address
- 520 N 28TH Ave Ste 200
Wausau, WI 54401-4101 - Phone
- (715) 845-4900
- Fax
- (715) 845-4970
- NPI assigned
- Jul 10, 2014
- Last updated
- Jul 10, 2014
- 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 | 2115-226 | WI | Primary |
Addresses
Primary practice location
520 N 28TH Ave Ste 200
Wausau, WI 54401-4101
Mailing address
520 N 28TH Ave Ste 200
Wausau, WI 54401-4101
Phone (715) 845-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 S 36TH Ave
Wausau, WI 54401-3930
Phone (715) 842-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2115-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Clinic, LLC | Professional | Current | Accepting new patients |
Locations
2417 Post Rd
Stevens Point, WI 54481
Phone (715) 544-6144
630 S 36th Ave
Wausau, WI 54401
Phone (414) 301-1060
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": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1205242245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N 28TH AVE STE 200",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014101",
"telephone_number": "715-845-4900",
"fax_number": "715-845-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 28TH AVE STE 200",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014101",
"telephone_number": "715-845-4900",
"fax_number": "715-845-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "ELIZABETH",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2115-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.