Individual provider Active NPI

Daniel Hernandez Kruger, M.ED., LPC, NCC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1639718828
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1200 Central Blvd Ste A11
Brownsville, TX 78520-7556
Phone
(956) 459-4357
Fax
(956) 435-9195
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 Primary

Addresses

Primary practice location

1200 Central Blvd Ste A11
Brownsville, TX 78520-7556

Mailing address

1200 Central Blvd Ste A11
Brownsville, TX 78520-7556
Phone (956) 459-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240306004127 TX Practitioner - Mental Health Counselor 3173996717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Central Blvd
Suite A11
Brownsville, TX 78520-7556
Phone (956) 572-0895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Insight Counseling PLLC Professional CurrentSince Feb 8, 2024 Accepting new patients
Cci Therapy -Counseling Centers International Professional CurrentSince Feb 26, 2024 Accepting new patients

Locations

908 Paredes Line Rd
Brownsville, TX 78521
Phone (956) 572-0100

1200 Central Blvd
Ste A11
Brownsville, TX 78520
Phone (956) 459-4357

1001 E Tyler Ave
Harlingen, TX 78550
Phone (239) 404-6641

Organizations & group practices 2

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1639718828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL BLVD STE A11",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207556",
            "telephone_number": "956-459-4357",
            "fax_number": "956-435-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL BLVD STE A11",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207556",
            "telephone_number": "956-459-4357",
            "fax_number": "956-435-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "DANIEL",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Mr.",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.