Jacob Harry Krieger

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC017860 Issued in PA

Practice address

112 Market St FL 2
Lynn, MA 01901-1125

Phone

(781) 593-7676

NPI assigned

Mar 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• 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

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.

• Row Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Malvern, PA
  • NPI 1346891736
  Medicare reassignment NPD
• Childrens Friend and Families

  • Community/Behavioral Health Agency
  • Lynn, MA
  • NPI 1336439421
  NPD (past)

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1659875441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 THE RIVERWAY # 956",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154109",
            "telephone_number": "203-910-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARKET ST FL 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011125",
            "telephone_number": "781-593-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "JACOB",
        "middle_name": "HARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeriy Kostenko, D. M. D.
• Yuliya Kostenko, DMD
• Olivia Rose Kostopoulos
• Suzanne Kramer, M.S., M.ED.
• Natalya Iosifovna Kravetskaya, D.M.D.
• Lyndsay Taylor Krisel
• Kristian F. McCoy
• Christine Krom, LMHC
• Renata Krznar Milord
• Lyndsay Marie Kuder, LMHC

• Professional Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.