Jill L Krejcie, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

796-124 Issued in WI

Practice address

1141 W Main Ave Ste 201
De Pere, WI 54115-1695

Phone

(920) 338-1610

Fax

(920) 338-1616

NPI assigned

May 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Autism Spectrum Therapies of Delaware, LLC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1043406978
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942467220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 FOURIER DR STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171969",
            "telephone_number": "608-662-9327",
            "fax_number": "608-662-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W MAIN AVE STE 201",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151695",
            "telephone_number": "920-338-1610",
            "fax_number": "920-338-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Crooks St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543014527",
            "country_code": "US",
            "telephone_number": "920-436-4360",
            "fax_number": "920-437-3540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Crooks St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543014527",
            "country_code": "US",
            "telephone_number": "920-436-4360",
            "fax_number": "920-437-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREJCIE",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "796-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43737400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen J Konop, BCBA
• Tracy Kopetsky
• Moira Kathleen Kraft, D.D.S.
• Lauren E Kramer, DPT
• Daniel Ernest Krause, L.P.C.
• Kaitlin Kretsch
• Sara R Kreul, PT
• Triton J Krizenesky, MD
• Courtney L Krolikowski, LPC, LCMHC, NCC
• Nancy Ahlgren Krueger, LPC

• Marriage & Family Therapist in De Pere, WI
• Providers in De Pere, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.