MARY J JAGO KRUEGER (NPI# 1346333804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346333804 |
Entity Type | Individual |
Full Name | MARY J JAGO KRUEGER |
Credential | MS, LCPC, CGP |
Practice Address |
204 Spring Street #27 Cary IL 60013 |
Mailing Address |
204 Spring St Ste 27 Cary IL 60013-1475 |
Practice Telephone | 8474216152 |
Practice Fax Number | 8476394815 |
Mailing Telephone | 8474216152 |
Mailing Fax Number | 8476394815 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2008-11-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180-000191 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LCPC | 180-000191 | 01 |
Street Address |
204 SPRING STREET #27 |
City | CARY |
State | IL |
Zip Code | 60013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134279789 | Brett Barber Dds PC | Dentist | 2615 Three Oaks Rd., Suite 2-d, Cary, IL 60013 | 2007-01-12 |
1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
1104872878 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 696 Northwest Hwy, Cary, IL 60013 | 2006-05-25 |
1073091815 | Evan R Corsolini | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2018-08-03 |
1518104512 | Kristi A Van Ham | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2009-01-13 |
1396990693 | Cornerstone Counseling | Counselor | 2615 Three Oaks Rd., Suite 2a, Cary, IL 60013 | 2008-12-01 |
1063567808 | Jeffrey Alan Johnson | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
1013062868 | Rebecca A Schoepke | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
Find all providers in zip 60013 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740829985 | Infinite Options Counseling, LLC | Counselor | 445 Park Ave Ste F, Cary, IL 60013-2766 | 2020-01-06 |
1700421609 | Ruth E Amos | Counselor | 1135 Kildaire Farm Rd Ste 315, Cary, NC 27511-4587 | 2019-11-14 |
1215587357 | Corey Mccarthy Shaw | Counselor | 207 Longbridge Dr, Cary, NC 27518-9085 | 2019-09-19 |
1700438512 | Sofia Moyano-kleckner | Counselor | 102 Snow Camp Dr, Cary, NC 27519-5840 | 2019-07-11 |
1609435932 | Grow, Encourage, Empower Pllc | Counselor | 417 Kildaire Farm Rd, Cary, NC 27511-3433 | 2019-06-11 |
1407334634 | Julie Elaine Fann | Counselor | 113 Edinburgh South Dr Ste 130, Cary, NC 27511-6456 | 2018-07-31 |
1952810426 | Mary Anderson | Counselor | 140 Iowa Ln Ste 201, Cary, NC 27511-4495 | 2017-09-27 |
1114445889 | Justin Mclendon | Counselor | 140 Iowa Ln Ste 204, Cary, NC 27511-4495 | 2017-09-01 |
1659898625 | Amber Millicent Diamond | Counselor | 120 Dry Ave Ste 101, Cary, NC 27511-3352 | 2017-08-29 |
1619417276 | Life Reflections Counseling Pllc | Counselor | 104 Kronos Ln, Cary, NC 27513-5339 | 2017-03-01 |
Find all providers in CARY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.