Active NPI
Smith Debrey Krueger, MA, LMHC
- Mental Health Counselor
- Kapa'a, HI
National Provider Identifier
1609121342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC-375
- Practice address
- 4569 Kukui St Ste 201
Kapaa, HI 96746-1775 - Phone
- (541) 728-3052
- NPI assigned
- Jul 18, 2012
- Last updated
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1756-13 | ||
| Mental Health Counselor | 101YM0800X | MHC-375 | HI | Primary |
Addresses
Primary practice location
4569 Kukui St Ste 201
Kapaa, HI 96746-1775
Mailing address
1110 NE Jones Rd
Bend, OR 97701-3922
Phone (808) 631-5731
Other names 1
- Hannah Krueger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC-375 | HI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannah Finazzo-Krueger | Current | Accepting new patients |
Locations
4569 Kukui St
Ste 201
Kapaa, HI 96746
Phone (808) 635-2242
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kapa'a, HI
- NPI 1790545481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1609121342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 NE JONES RD",
"city": "BEND",
"state": "OR",
"postal_code": "977013922",
"telephone_number": "808-631-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4569 KUKUI ST STE 201",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461775",
"telephone_number": "541-728-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "SMITH",
"middle_name": "DEBREY",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-18",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "1756-13",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "MHC-375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "KRUEGER",
"credential": "MA, LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kapa'a, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.