Eric C Kruse, LMFT #116204

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

116204 Issued in CA

Practice address

13101 W Washington Blvd Ste 124
Los Angeles, CA 90066-5176

Phone

(310) 729-4362

NPI assigned

Feb 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1225578263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665176",
            "telephone_number": "310-729-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665176",
            "telephone_number": "310-729-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12065 Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "902306219",
            "country_code": "US",
            "telephone_number": "310-729-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "LMFT #116204",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Krumholz, MS
• Karen Krumperman, MFC
• Allison Kristine Krupa
• Vinay Krupadev
• Marissa Krupat, LMFT
• Jacqueline McNally Kruse, RN
• Jennifer Lynn Kruse, M.D.
• Jesse John Kruse
• Laurelin Kruse
• Perri Alexandra Kruse

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.