Individual provider Active NPI

Stephanie A Krueger, LISW

  • Professional Counselor
  • Akron, OH
National Provider Identifier
1508081977
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
I.007042 Issued in OH
Practice address
1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone
(330) 724-5471
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X I.007042 OH Primary

Addresses

Primary practice location

1400 S Arlington St Unit 38
Akron, OH 44306-3771

Mailing address

PO Box 933132
Cleveland, OH 44193-0001
Phone (330) 724-5471

Other practice location 1

2233 Rocky Ln
Ashland, OH 44805-4701
Phone (419) 281-3716

Other names 1

  • Stephanie A George Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414003719 OH Practitioner - Clinical Social Worker 8527243435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.007042OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Feb 3, 2020 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Feb 3, 2020 Accepting new patients
Appleseed Community Mental Health Center Inc Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1508081977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933132",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "330-724-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST UNIT 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063771",
            "telephone_number": "330-724-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Rocky Ln",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448054701",
            "country_code": "US",
            "telephone_number": "419-281-3716",
            "fax_number": "419-281-4605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "I.007042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GEORGE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.