Active NPI
Julie A. Krutzfeldt, L.C.P.C.
- Professional Counselor
- Miles City, MT
National Provider Identifier
1881795482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 173
- Practice address
- 2200 Box Elder St
Miles City, MT 59301-2899 - Phone
- (406) 234-2965
- Fax
- (406) 234-9333
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 173 | MT | Primary |
Addresses
Primary practice location
2200 Box Elder St
Miles City, MT 59301-2899
Mailing address
PO Box 222
Miles City, MT 59301-0222
Phone (406) 234-2965
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251481 | Medicaid | MT | |
| 740203 | Other | MT | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603002095 | MT | Practitioner - Mental Health Counselor | 2769924034 | Practice locations: Miles City, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
315 Main St
Miles City, MT 59301-4015
Phone (406) 294-0965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881795482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593010222",
"telephone_number": "406-234-2965",
"fax_number": "406-234-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BOX ELDER ST",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593012899",
"telephone_number": "406-234-2965",
"fax_number": "406-234-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUTZFELDT",
"first_name": "JULIE",
"middle_name": "A.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0251481",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "740203",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.