Jesicca Nicole Kruckeberg

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001336 Issued in CO

Legal business name

JESICCA NICOLE KRUCKEBERG

Practice address

2101 S Blackhawk St
Suite 240
Aurora, CO 80014-1492

Phone

(612) 360-9935

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Krukeberg, LMFT

Title

Owner

Phone

(612) 360-9935

Specialties & licenses 1

Addresses

Other names 1

• Areas of Growth Counseling LLC Doing business as

Tax ID family

Areas of Growth Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jessica Kruckeberg

  • Marriage & Family Therapist
  • Centennial, CO
  • NPI 1447797410
  NPD tax ID

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1780129288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST",
            "address_2": "SUITE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141492",
            "telephone_number": "612-360-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST",
            "address_2": "SUITE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141492",
            "telephone_number": "612-360-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESICCA NICOLE KRUCKEBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "KRUKEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-360-9935",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Areas of Growth Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chu Yong Jeong, O.D.
• Chelsea Jeranko, D.O.
• Jeri a Schneebeck, OD, PC
• Haley Jerman
• Elijah Jerome
• Andrew S. Jeske, B.A
• Lauren Jesse, PA
• Mackenzie Jessen
• Jessie Wright PLLC
• Haydn Jessup

• Marriage & Family Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.