Individual provider Active NPI

Alexis L. Kruse, M.A., LPC, CADC I

  • Professional Counselor
  • Redmond, OR
National Provider Identifier
1730228156
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1968 Issued in OR
Practice address
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone
(541) 904-5216
Fax
(541) 527-4347
NPI assigned
Feb 5, 2007
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 C1968 OR Primary

Addresses

Primary practice location

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240105002858 WA Practitioner - Mental Health Counselor 3971954702 Reassigns benefits to 1 organization
I20240415001076 OR Practitioner - Mental Health Counselor 3971954702 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1968ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 1, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 27, 2025 Accepting new patients
Brightways Counseling Group LLC CurrentSince Mar 2, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2024 Accepting new patients

Locations

7515 Falcon Crest Dr
#200
Redmond, OR 97756

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 5

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1730228156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "ALEXIS",
        "middle_name": "L.",
        "credential": "M.A., LPC, CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.