Jennifer M Krumm, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2108 Issued in OR

Practice address

10883 SE Main St
Suite 206
Milwaukie, OR 97222-7641

Phone

(503) 867-2982

NPI assigned

Dec 21, 2009

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

Opted out of Medicare

Yes, effective Feb 19, 2024 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Heart Path Counseling

  • Adult Mental Health Clinic/Center
  • Milwaukie, OR
  • NPI 1346010592
  NPD

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1972832939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10883 MAIN STREET,",
            "address_2": "SUITE 206",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227759",
            "telephone_number": "503-867-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10883 SE MAIN ST",
            "address_2": "SUITE 206",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227641",
            "telephone_number": "503-867-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMM",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijitha Kothakonda
• Kristen Leigh Kozlowski, MS CCC-SLP
• Virginia Kraft McKain, MA SLP
• August Kroll
• Matthew William Krueger, ATC, EMTB
• Stefanie Krupp, DC
• Brooke Alyssa Kuhnhausen, PH.D.
• Alissa Clare Kummer, MD
• Diana Kuykendall, MS,CCC-SLP
• Earl Calvin Kwong, PHYSICAL THERAPIST A

• Professional Counselor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.