MR. ZACHARY MITCHELL KRUGER (NPI# 1780282368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780282368 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY MITCHELL KRUGER |
| Credential | MA, NLC |
| Practice Address |
419 4th Avenue Lyons CO 80540 |
| Mailing Address |
Po Box 392 Lyons CO 80540-0392 |
| Practice Telephone | 7205934701 |
| Mailing Telephone | 7205934701 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | NLC.0107507 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES | NLC.0107507 | 01 |
| Street Address |
419 4TH AVENUE |
| City | LYONS |
| State | CO |
| Zip Code | 80540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595642 | Lisa Hassin Lpc LLC | Counselor | 418 High Street, Lyons, CO 80540 | 2020-07-07 |
| 1144779018 | Julia Ann Ebert | Physical Therapist | 435 High St, Lyons, CO 80540 | 2016-10-03 |
| 1255724647 | Bertrand Babinet | Acupuncturist | 405 Vasquez Ct, Lyons, CO 80540 | 2015-03-10 |
| 1225420318 | Boulder Creek Transportation, Inc. | Non-emergency Medical Transport (VAN) | 103 Eagle Canyon Circle, Lyons, CO 80540 | 2015-02-26 |
| 1841426269 | Michelle L Kramer | Occupational Therapist | 519 2nd Avenue, Lyons, CO 80540 | 2009-06-01 |
| 1144484908 | Jacqueline Ann Brennan | Occupational Therapist | 435 High Street, Lyons, CO 80540 | 2008-07-10 |
| 1912173998 | Laurie A Harper | Physical Therapist | 206 Welch Ct, Lyons, CO 80540 | 2008-04-30 |
| 1679628952 | James Robert Hart | Counselor | 304 Main Street, Unit C, Lyons, CO 80540 | 2007-01-24 |
| 1932256773 | Bronwyn K Muldoon | Specialist | 442 High St, Lyons, CO 80540 | 2007-01-04 |
| 1528132891 | Abigail Emily Spencer | Social Worker | 234 Welch Dr., Lyons, CO 80540 | 2006-11-20 |
| Find all providers in zip 80540 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255463261 | Nicole Jennifer Yager | Counselor | Wayne Behavioral Heatlh Network, 1519 Nye Road, Lyons, NY 14489 | 2007-03-12 |
| 1891197836 | Jy Thomas Kelley | Counselor | 1519 Nye Rd, Lyons, NY 14489-9133 | 2014-09-22 |
| 1033523121 | Samantha Minns | Counselor | 1519 Nye Rd, Lyons, NY 14489-9133 | 2014-06-17 |
| 1376961094 | Michelle Rivers | Counselor | 1519 Nye Rd, Lyons, NY 14489-9133 | 2014-03-31 |
| 1336271428 | John R Allard | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
| 1417089517 | Nancy Sims | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
| 1720110802 | Martha C Lynch | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
| 1952433047 | Kimberly Anne Swan | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
| 1346385036 | Tamara Tesler | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-02-20 |
| 1952446643 | Anthony Michael Milonni | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-02-20 |
| Find all providers in LYONS | ||||
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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.