Active NPI
Roger Kruger, LIMHP
- Mental Health Counselor
- Elkhorn, NE
National Provider Identifier
1770675134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 943
- Practice address
- 19500 Pacific St
Elkhorn, NE 68022-2726 - Phone
- (402) 614-6287
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 2985 | NE | |
| Mental Health Counselor | 101YM0800X | 943 | NE | Primary |
Addresses
Primary practice location
19500 Pacific St
Elkhorn, NE 68022-2726
Mailing address
19500 Pacific St
Elkhorn, NE 68022-2726
Phone (402) 614-6287
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2985 | NE | MD | Pastoral Counselor |
| 943 | NE | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracepoint Institute for Relational Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Elkhorn, NE
- NPI 1528307907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1770675134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19500 PACIFIC ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222726",
"telephone_number": "402-614-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 PACIFIC ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222726",
"telephone_number": "402-614-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "ROGER",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NE",
"license": "2985",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.