Individual provider Active NPI

Daniel James Cruger, LCSW,CSAC

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1871036228
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11506-123 Issued in WI
Practice address
3410 Oakwood Mall Dr Ste 700
Eau Claire, WI 54701-2617
Phone
(715) 832-1678
Fax
(715) 832-6680
NPI assigned
Dec 2, 2016
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17162-130 WI
Mental Health Counselor 101YM0800X 11506-123 WI Primary

Addresses

Primary practice location

3410 Oakwood Mall Dr Ste 700
Eau Claire, WI 54701-2617

Mailing address

301 Comfortcove St
Orfordville, WI 53576-8780
Phone (608) 800-2766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240412002683 WI Practitioner - Clinical Social Worker 9931548765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Christian Counseling LLCGroup PAC ID 0547438848, 6 clinicians

Practice addresses (Care Compare)

3410 Oakwood Mall Dr
Suite 700
Eau Claire, WI 54701-2617
Phone 7158321678106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17162-130WIMDAddiction (Substance Use Disorder) Counselor
11506-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Christian Counseling LLC CurrentSince Mar 1, 2024 Accepting new patients
Rock Valley Community Programs, Inc. PastSince Mar 4, 2021 Accepting new patients
L & D Enterprises, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

3410 Oakwood Mall Dr
Ste 700
Eau Claire, WI 54701
Phone (715) 832-1678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1871036228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 COMFORTCOVE ST",
            "city": "ORFORDVILLE",
            "state": "WI",
            "postal_code": "535768780",
            "telephone_number": "608-800-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 OAKWOOD MALL DR STE 700",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012617",
            "telephone_number": "715-832-1678",
            "fax_number": "715-832-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUGER",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "LCSW,CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17162-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11506-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.