Jessica Jean Krueger, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011950 Issued in MI

Practice address

2160 Hamilton Rd
Suite C
Okemos, MI 48864-1774

Phone

(517) 420-1417

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Jessica Krueger LPC LLC

  • Counselor
  • East Lansing, MI
  • NPI 1699253377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1659682250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 HAMILTON RD",
            "address_2": "SUITE C",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641774",
            "telephone_number": "517-420-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 HAMILTON RD",
            "address_2": "SUITE C",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641774",
            "telephone_number": "517-420-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine S West DDS Ms and Donald R Burkhardt DDS Ms PC
• Kristy Fujiura Counseling LLC
• Kroger Co of Michigan
• Kelly Adeane Kroll
• John L Kroneman, MSW
• Chelsea Krummrey
• Emma Riley Kuehnlein
• Joseph Kuiper
• Kusum Kumar, MD
• Sashi Bala Kundi

• Professional Counselor in Okemos, MI
• Providers in Okemos, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.