Jordyn Kruse

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

51 Zaca LN Ste 100
San Luis Obispo, CA 93401-7353

Phone

(559) 740-8274

NPI assigned

Apr 7, 2022

Sex

Female

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1457092819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CHORRO ST APT G",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012776",
            "telephone_number": "559-740-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ZACA LN STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017353",
            "telephone_number": "559-740-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "JORDYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Scott Krueckel, DDS
• Sarah Wright Krueckel, DDS
• Dina Marie Krull, APCC
• Seth Daniel Krumheuer
• Lauren Krup, PHARMD
• Timothy Kuang, M.D.
• Kristo Kucaric Jr., L. AC.
• Michael Edward Kudrna, CATC-III
• Jennifer N Kuiken, LPT
• Tara Marie Kulikov, L.AC.

• Marriage & Family Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Apr 7, 2022; 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.