Organization Active NPI

Jessica Kruckeberg

Doing business as Areas of Growth LLC

  • Marriage & Family Therapist
  • Centennial, CO
National Provider Identifier
1447797410
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0001336 Issued in CO
Legal business name
JESSICA KRUCKEBERG
Doing business as
Areas of Growth LLC
Practice address
12835 E Arapahoe Rd
Tower 2 Suite 440
Centennial, CO 80112-3940
Phone
(720) 288-0645
NPI assigned
Jan 27, 2017
Last updated
Jan 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Jessica Kruckeberg, LMFTNPI 1629513130
Title
Onwer
Phone
(720) 288-0645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0001336 CO Primary

Addresses

Primary practice location

12835 E Arapahoe Rd
Tower 2 Suite 440
Centennial, CO 80112-3940

Mailing address

2101 S Blackhawk St
Suite 240
Aurora, CO 80014-1492
Phone (720) 288-0645

Other names 1

  • Areas of Growth LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Areas of Growth Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1447797410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST",
            "address_2": "SUITE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141492",
            "telephone_number": "720-288-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD",
            "address_2": "TOWER 2 SUITE 440",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "720-288-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA KRUCKEBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "KRUCKEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "720-288-0645",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Areas of Growth LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.