Individual provider Active NPI

Laura C Kruthoffer, LPCC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1770521288
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0500597 Issued in OH
Practice address
425 Farrell CT
Cincinnati, OH 45233-1677
Phone
(513) 451-6871
Fax
(513) 451-6876
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0250 KY
Professional Counselor 101YP2500X E.0500597 OH Primary

Addresses

Primary practice location

425 Farrell CT
Cincinnati, OH 45233-1677

Mailing address

425 Farrell CT
Cincinnati, OH 45233-1677
Phone (513) 451-6871

Other practice location 1

814 Madison Ave
Covington, KY 41011-2414
Phone (859) 431-4770

Other identifiers 1

IdentifierTypeStateIssuer
184607OtherKYMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240523002380 OH Practitioner - Mental Health Counselor 1355783275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0250KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Apr 8, 2024 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board Past Accepting new patients

Locations

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1770521288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FARRELL CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331677",
            "telephone_number": "513-451-6871",
            "fax_number": "513-451-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FARRELL CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331677",
            "telephone_number": "513-451-6871",
            "fax_number": "513-451-6876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410112414",
            "country_code": "US",
            "telephone_number": "859-431-4770",
            "fax_number": "859-431-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUTHOFFER",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "0250",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "184607",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.