JESSICA KRUCKEBERG (NPI# 1629513130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629513130 |
| Entity Type | Individual |
| Full Name | JESSICA KRUCKEBERG |
| Credential | LMFT |
| Practice Address |
2101 S Blackhawk St Suite 240 Aurora CO 80014-1492 |
| Mailing Address |
12835 E Arapahoe Road Tower 2, Suite 440 Centennial CO 80112-3940 |
| Practice Telephone | 6123609935 |
| Mailing Telephone | 7202880645 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0001336 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2101 S BLACKHAWK ST SUITE 240 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831179324 | James J Masterson | Counselor | 2101 S Blackhawk St, Aurora, CO 80014-1475 | 2006-01-19 |
| 1114557634 | Joy C Ewing | Counselor | 2101 S Blackhawk St, Aurora, CO 80014-1492 | 2020-01-23 |
| 1134643257 | Tiffany Lloyd | Counselor | 2101 S Blackhawk St, Aurora, CO 80014 | 2017-07-31 |
| 1760920573 | Susan Garrett, Lcsw LLC | Social Worker | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2017-02-01 |
| 1780129288 | Jesicca Nicole Kruckeberg | Marriage & Family Therapist | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-12-20 |
| 1134670490 | Gabrielle May-shinagle | Counselor | 2101 S Blackhawk St, Aurora, CO 80014-1492 | 2016-10-20 |
| 1639629025 | M2 Solutions Inc | Counselor | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-10-10 |
| 1194278747 | Comprehensive Counseling Services, LLC | Social Worker | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-08-01 |
| 1962857805 | Giving Tree Counseling Services | Counselor | 2101 S Blackhawk St, Suite 240, Aurora, CO 80014-1492 | 2016-04-28 |
| 1124489927 | Psychedin | Counselor | 2101 S Blackhawk St, Suite 180, Aurora, CO 80014-1492 | 2016-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708415 | Olga Berezenko | Marriage & Family Therapist | 6750 N Dunkirk St, Aurora, CO 80019-2107 | 2020-04-03 |
| 1598292294 | Halley Jaynes-fournier | Marriage & Family Therapist | 15944 E Rice Pl Apt A, Aurora, CO 80015-6925 | 2017-05-12 |
| 1285165753 | Jacqueline Bess | Marriage & Family Therapist | 2518 S Biscay Ct, Aurora, CO 80013-6412 | 2017-03-25 |
| 1255879961 | Tania Yvonne Morris | Marriage & Family Therapist | 2597 S Truckee Way, Aurora, CO 80013-5925 | 2017-02-02 |
| 1942677406 | Ashley Uchiyama | Marriage & Family Therapist | 15096 E Grand Ave, Aurora, CO 80015-2173 | 2015-08-31 |
| 1063801058 | Melinda Sigle | Marriage & Family Therapist | 19316 E Lasalle Pl, Aurora, CO 80013-7700 | 2015-01-14 |
| 1295164861 | Georgia C Lundgren | Marriage & Family Therapist | 438 Oswego St, Aurora, CO 80010-4754 | 2013-11-05 |
| 1619313988 | Jesse Patrick Waltz | Marriage & Family Therapist | 750 Shoreline Dr, Suite 150, Aurora, IL 60504-6184 | 2013-05-14 |
| 1497038400 | Ronnie Vasquez | Marriage & Family Therapist | 2821 S Parker Rd Ste 159, Aurora, CO 80014-2743 | 2011-09-26 |
| 1881921021 | Michael Adam Stern | Marriage & Family Therapist | 1550 S Potomac St Ste 133, Aurora, CO 80012-5442 | 2009-11-09 |
| Find all providers in AURORA | ||||
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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.