Individual provider Active NPI

Debbie Suzanne Kruppa, LISW-S

  • Mental Health Counselor
  • Warren, OH
National Provider Identifier
1265343610
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.0005679-SUPV Issued in OH
Practice address
2651 Hoagland Blackstub Rd NE
Warren, OH 44481-9328
Phone
(330) 219-1129
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X I.0005679-SUPV OH
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X I.0005679-SUPV OH Primary

Addresses

Primary practice location

2651 Hoagland Blackstub Rd NE
Warren, OH 44481-9328

Mailing address

418 Durst Dr NW
Warren, OH 44483-1108
Phone (330) 219-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1265343610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 DURST DR NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831108",
            "telephone_number": "330-219-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 HOAGLAND BLACKSTUB RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819328",
            "telephone_number": "330-219-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPPA",
        "first_name": "DEBBIE",
        "middle_name": "SUZANNE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "I.0005679-SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.0005679-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.