Active NPI
Jordan Kruse
- Counselor
- Sioux Falls, SD
National Provider Identifier
1629914320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC20947
- Practice address
- 1701 E 69TH St Ste a
Sioux Falls, SD 57108-8331 - Phone
- (605) 275-2280
- NPI assigned
- Apr 25, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC20947 | SD | Primary |
Addresses
Primary practice location
1701 E 69TH St Ste a
Sioux Falls, SD 57108-8331
Mailing address
1701 E 69TH St Ste a
Sioux Falls, SD 57108-8331
Phone (605) 275-2280
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC20947 | SD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Counseling, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1962019976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777075200000",
"number": "1629914320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E 69TH ST STE A",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088331",
"telephone_number": "605-275-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E 69TH ST STE A",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088331",
"telephone_number": "605-275-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-25",
"last_updated": "2026-04-25",
"certification_date": "2026-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SD",
"license": "LPC20947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.