Individual provider Active NPI

James Krutzke, MA

  • Professional Counselor
  • Haddon Heights, NJ
National Provider Identifier
1821333246
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00445500 Issued in NJ
Practice address
6 White Horse Pike
Suite 1-B
Haddon Heights, NJ 08035-1246
Phone
(856) 672-1900
Fax
(856) 672-9019
NPI assigned
Dec 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 37PC00445500 NJ Primary

Addresses

Primary practice location

6 White Horse Pike
Suite 1-B
Haddon Heights, NJ 08035-1246

Mailing address

6 White Horse Pike
Suite 1-B
Haddon Heights, NJ 08035-1246
Phone (856) 672-1900

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00445500NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1821333246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHITE HORSE PIKE",
            "address_2": "SUITE 1-B",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351246",
            "telephone_number": "856-672-1900",
            "fax_number": "856-672-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WHITE HORSE PIKE",
            "address_2": "SUITE 1-B",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351246",
            "telephone_number": "856-672-1900",
            "fax_number": "856-672-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTZKE",
        "first_name": "JAMES",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00445500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.