Jennifer Krueger, LAC
Individual provider Active NPI Counselor · Little Rock, AR
NPI 1295531010 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1295531010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- A2502014 (AR)
- Practice address
- 1 Lile CT Ste 200
Little Rock, AR 72205-6240 - Phone
- (501) 663-1837
- Fax
- (501) 663-1839
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2502014 | AR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Development Corporation | Past |
Accepting new patients | |
| Rpi Sleep Complete LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A2502014 | AR | Yes |
Addresses
Primary practice location
1 Lile CT Ste 200
Little Rock, AR 72205-6240
Mailing address
1310 W Main St Ste 201
Russellville, AR 72801-2803
Phone (479) 964-2011
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.