Jessica A Krueger, MS, LPC, CSAC, CS-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5661-125 Issued in WI

Practice address

505 Broadway St
Baraboo, WI 53913-2183

Phone

(608) 355-4200

Fax

(608) 355-4299

NPI assigned

Mar 5, 2013

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica A Biba Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Sauk County

  dba Sauk Co Health Care Center

  • Skilled Nursing Facility
  • Reedsburg, WI
  • NPI 1528056819
  Medicare reassignment NPD
• County of Sauk

  dba Sauk County Department of Human Services

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1508915323
  NPD
• Sauk County

  dba Sauk County Health Department

  • Public Health or Welfare Agency
  • Baraboo, WI
  • NPI 1962535088
  NPD
• Sauk County Department of Human Services

  • Speech-Language Pathologist
  • Baraboo, WI
  • NPI 1710522792
  NPD (past)
• Seasons Counseling, LLC

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1235717521

  Professional

  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1609117316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539130029",
            "telephone_number": "608-355-4200",
            "fax_number": "608-355-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROADWAY ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132183",
            "telephone_number": "608-355-4200",
            "fax_number": "608-355-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "MS, LPC, CSAC, CS-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16090-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5661-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BIBA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne M Kriege, MD
• Marian R Krocker, LPN
• Frederick W Kron, MD
• Randy J Krszjzaniek, MD
• Erick Lichte Krueger
• Erika T Krusiec, SLP
• Elizabeth J Kryka, CSAC
• Malerie Catherine Kurt, PT, DPT
• Borys Kusyk, DPM
• David P Kuter, MD

• Professional Counselor in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.