Individual provider Active NPI

Rebekah Jasmin Kruzel, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Saint Joseph, MI
National Provider Identifier
1871041384
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6801096308 Issued in MI
Practice address
3134 Niles Rd St. C
Saint Joseph, MI 49085-8652
Phone
(269) 408-8235
NPI assigned
Sep 13, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801096308 MI Primary

Addresses

Primary practice location

3134 Niles Rd St. C
Saint Joseph, MI 49085-8652

Mailing address

1975 Elm Ter
Benton Harbor, MI 49022-7127
Phone (269) 208-4460

Other names 1

  • Rebekah Jasmin Valenti Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1871041384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 ELM TER",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490227127",
            "telephone_number": "269-208-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 NILES RD ST. C",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858652",
            "telephone_number": "269-408-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUZEL",
        "first_name": "REBEKAH",
        "middle_name": "JASMIN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801096308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "VALENTI",
            "middle_name": "JASMIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.