KRUEGER INTEGRATIVE CARE, LLC
NPI 1174180822
Clinic/Center - Adult Mental Health in Woodbridge, VA

Active since May 28, 2019
4893 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192(850) 565-9710 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krueger Integrative Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRUEGER INTEGRATIVE CARE, LLC (NPI 1174180822) is a healthcare organization registered as an adult mental health in Woodbridge, Virginia and active in the NPI registry since May 2019. The organization lists Tonice Krueger, Licenced Psychologist, Director, as its authorized official.

NPPES Registry Identity

NPI1174180822
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKRUEGER INTEGRATIVE CARE, LLC
Location Address4893 PRINCE WILLIAM PKWYWoodbridge, VA 22192-5403
Mailing Address4467 New Market RdNiceville, FL 32578-4915 · (619) 865-9399
Organization SubpartNo
Authorized OfficialTonice KruegerLicenced Psychologist, Director · (619) 865-9399
Enumeration DateMay 28, 2019
✔ NPI 1174180822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4893 PRINCE WILLIAM PKWY, Woodbridge, VA 22192

Other Identifiers 1

Other1184949398Npi 1

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krueger Integrative Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Krueger Integrative Care, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1043653421
1940 HARRISON AVE
Panama City, FL 32405
(850) 763-0017
✔ PECOS✔ Accepts Medicare753 mi
Clinical Psychologist
NPI 1184949398
4566 E HIGHWAY 20 STE 104
Niceville, FL 32578
(850) 842-2424
✔ PECOS✔ Accepts Medicare765 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krueger Integrative Care, LLC's NPI number?

The NPI number for Krueger Integrative Care, LLC is 1174180822. It was assigned to this organization in the NPPES registry on May 28, 2019.

Where is Krueger Integrative Care, LLC located?

Krueger Integrative Care, LLC is located at 4893 Prince William Pkwy, Woodbridge, VA 22192. The listed phone number is (850) 565-9710.

What is Krueger Integrative Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Krueger Integrative Care, LLC enrolled in Medicare?

Yes. Krueger Integrative Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Krueger Integrative Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Krueger Integrative Care, LLC, in Clinical Psychologist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Krueger Integrative Care, LLC was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.