Active NPI
Andrew Kroeker, AMFT
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1952989303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98881
- Practice address
- 20051 SW Birch St
Newport Beach, CA 92660-1708 - Phone
- (213) 924-6442
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98881 | CA | Primary |
Addresses
Primary practice location
20051 SW Birch St
Newport Beach, CA 92660-1708
Mailing address
20051 SW Birch St
Newport Beach, CA 92660-1708
Phone (213) 924-6442
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98881 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1952989303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20051 SW BIRCH ST",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601708",
"telephone_number": "213-924-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20051 SW BIRCH ST",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601708",
"telephone_number": "213-924-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEKER",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.