Jenna Kruse, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2015019584 Issued in MO

Practice address

3910 S Old Highway 94 Ste 103
Saint Charles, MO 63304-2834

Phone

(636) 283-0088

Fax

(636) 284-2456

NPI assigned

Jul 12, 2016

Last updated

Nov 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 7, 2024 through Mar 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1790137917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 S OLD HIGHWAY 94 STE 103",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042834",
            "telephone_number": "636-283-0088",
            "fax_number": "636-284-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S OLD HIGHWAY 94 STE 103",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042834",
            "telephone_number": "636-283-0088",
            "fax_number": "636-284-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4236 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631082948",
            "country_code": "US",
            "telephone_number": "314-531-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "JENNA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2015019584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Krebs
• Carol Krieg, LPC
• Kristen James Counseling, LLC
• Jessica J. Krous
• Gabrielle Christina Krus-Whiteside, MA, LPC
• KS Counseling LLC
• KSJ Medical LLC
• Abby Elizabeth Kubesh, CRNA
• Karina Rich Kuder, SLP
• Kathryn Kuehler, OTR

• Marriage & Family Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.