Katharine Brooke Krueger, MSW, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S.2106940 Issued in OH

Practice address

400 Tenney Ave Ste 118
Amherst, OH 44001-2268

Phone

(440) 213-3669

NPI assigned

Jun 11, 2022

Last updated

Jun 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1902536121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TENNEY AVE STE 118",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012268",
            "telephone_number": "440-213-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TENNEY AVE STE 118",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012268",
            "telephone_number": "440-213-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KATHARINE",
        "middle_name": "BROOKE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.2106940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kenneth Henry Kossow, O.D.
• Lara Kovacs, M.A. CCC-SLP
• Alison Helene Kraig, NURSE PRACTITIONER
• Lydia Kraszewski
• Kimberly Ann Kroesen
• John Christopher Kubicki
• Catherine M Lamb, CNM
• Dale Lapp
• Haifa Stephanie Lattouf
• Lauren Drake, LLC

• Mental Health Counselor in Amherst, OH
• Providers in Amherst, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.