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Jennica Anastasia Kruse

Art Therapist in Minneapolis, MN. Individual provider (NPI-1).

NPI number1568214732
StatusActive
Last updated in NPPESApr 2, 2024

Details

NPI
1568214732
Entity type
Individual (NPI-1)
Name
Jennica Anastasia Kruse
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 2, 2024
Certification date
Apr 2, 2024
Last updated
Apr 2, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
221700000X Art Therapist––Yes

Practice location

2637 27th Ave S Ste 248
Minneapolis, MN 55406-1565

Phone 612-219-5098

Mailing address

954 22nd Ave Ne
Minneapolis, MN 55418-3743

Phone 612-219-5098

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Art Therapist providers in Minneapolis, MN

All 7 Art Therapist providers in Minneapolis · All 27,202 providers in Minneapolis

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