MARYSA KRUEGER (NPI# 1497377568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497377568 |
| Entity Type | Individual |
| Full Name | MARYSA KRUEGER |
| Practice Address |
5040 E. Shea Blvd Phoenix AZ 85028 |
| Mailing Address |
19820 N 13th Ave Unit 206 Phoenix AZ 85027-4312 |
| Practice Telephone | 4806411165 |
| Mailing Telephone | 6023001190 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5040 E. SHEA BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891317392 | Chelsea Savastio | Counselor | 5040 E. Shea Blvd, Ste. 164, Phoenix, AZ 85028-8502 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| 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 |
|---|---|---|---|---|
| 1891395604 | Helping Handz Counseling Services Outpatient Treatment Center Corp | Counselor | 3930 N 30th Ave, Phoenix, AZ 85017-4607 | 2020-10-30 |
| 1134745367 | Julianne Jordan Holroyd | Counselor | 16012 N 7th Dr, Phoenix, AZ 85023-4436 | 2020-06-23 |
| 1275158719 | Empire Group Homes LLC | Counselor | 1629 W Lacewood Pl, Phoenix, AZ 85045-0814 | 2020-06-10 |
| 1891317392 | Chelsea Savastio | Counselor | 5040 E. Shea Blvd, Ste. 164, Phoenix, AZ 85028-8502 | 2020-05-07 |
| 1740800366 | Premier Innovative Care Services | Counselor | 525 E Camelback Rd, Phoenix, AZ 85012-1615 | 2020-04-23 |
| 1043840028 | Elizabeth Pacheco | Counselor | 3050 W Agua Fria Fwy, Phoenix, AZ 85027-3946 | 2020-01-18 |
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1871136945 | Our Home of Unity LLC | Counselor | 8105 W Magnolia St, Phoenix, AZ 85043-5420 | 2019-10-22 |
| 1437791183 | Catherine Amanda Bowser | Counselor | 2701 N 16th St Ste 218, Phoenix, AZ 85006-1265 | 2019-10-15 |
| 1730732777 | Christopher Adam Kraemer | Counselor | 21620 N 19th Ave Ste B6, Phoenix, AZ 85027-2716 | 2019-07-18 |
| Find all providers in PHOENIX | ||||
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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.