Meredith Krugel LCSW PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

L4071 Issued in OR

Legal business name

MEREDITH KRUGEL LCSW PC

Practice address

2225 NW Stewart Parkway Ste 200
Roseburg, OR 97471

Phone

(541) 900-4285

Fax

(888) 810-2993

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Meredith Collins Krugel, LCSWNPI 1720271976

Title

Owner

Phone

(541) 391-2883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith C Krugel, LCSW

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1720271976
  NPD (past) Authorized official

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1952884876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PONDEROSA DR.",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-391-2883",
            "fax_number": "541-673-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NW STEWART PARKWAY STE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1652 NH Hughwood Ct",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "97471",
            "country_code": "US",
            "telephone_number": "541-391-2883",
            "fax_number": "541-673-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEREDITH KRUGEL LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "KRUGEL",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-391-2883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "L4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R173605",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Center Inc.
• Mercy Medical Center, Inc.
• Mercy Medical Center, Inc.
• Mercy Services Corporation
• Mercy Services Corporation
• Thomas P Metzger
• Michael Douglas Metzler, CADC I
• Lydia Corine Meyer, CADC 1
• Austin Meyers
• Michele R Savage

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.