Individual provider Active NPI

Jodelle Marie Kruger, MA, ATR-BC

  • Counselor
  • Harrisburg, PA
National Provider Identifier
1669586863
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
04-096 ATR-BC Issued in PA
Practice address
3333 N Front St
Harrisburg, PA 17110-1436
Phone
(717) 233-1681
Fax
(717) 234-8258
NPI assigned
Aug 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 04-096 ATR-BC PA Primary

Addresses

Primary practice location

3333 N Front St
Harrisburg, PA 17110-1436

Mailing address

3333 N Front St
Harrisburg, PA 17110-1436
Phone (717) 233-1681

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

LicenseStateTypeSpecialty
04-096 ATR-BCPAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Greater Harrisburg Counselor PastSince Sep 30, 2016 Accepting new patients
Jewish Family Service of Greater Harrisburg Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669586863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-233-1681",
            "fax_number": "717-234-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-233-1681",
            "fax_number": "717-234-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "JODELLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "04-096 ATR-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.