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JUSTIN S KROLL
NPI 1609410596
Prevention Professional in Port Huron, MI

Active since November 04, 2019
1902 13TH ST, PORT HURON, MI 48060(810) 300-8536 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Nov 4, 2019 (2 updates tracked since 2019).

About Justin S Kroll NPPES

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

JUSTIN S KROLL (NPI 1609410596) is an individual prevention professional provider in Port Huron, Michigan, licensed in Connecticut (1863) and active in the NPI registry since November 2019. He maintains 9 additional practice locations.

NPPES Registry Identity

NPI1609410596
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameJUSTIN S KROLL
Location Address1902 13TH STPort Huron, MI 48060-6238
Mailing Address1902 13th StPort Huron, MI 48060-6238 · (810) 300-8536
Phone(810) 300-8536
Sole ProprietorYes
Enumeration DateNovember 4, 2019
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1609410596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in CT · 1863
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
1902 13TH ST, Port Huron, MI 48060
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Secondary Practice Locations 9

Location 1924 Wall StPort Huron, MI 48060-5216 · Phone (810) 300-8536
Location 21234 Minnie StPort Huron, MI 48060-6267 · Phone (810) 300-8536
Location 31036 Wall StPort Huron, MI 48060-5218 · Phone (810) 300-8536
Location 41033 Wall StPort Huron, MI 48060-5217 · Phone (810) 300-8536
Location 5735 Wall StPort Huron, MI 48060-5377 · Phone (810) 300-8536
Location 6733 Wall StPort Huron, MI 48060-5321 · Phone (810) 300-8536
Location 71319 Griswold StPort Huron, MI 48060-5758 · Phone (810) 300-8536
Location 81220 Lapeer AvePort Huron, MI 48060-4352 · Phone (810) 300-8536
Location 9904 Tunnel StPort Huron, MI 48060-6374 · Phone (810) 300-8536

Other Identifiers 2

Medicaid1863CT
Other0000000Do Not Have

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 Justin Kroll's NPI number?

The NPI number for Justin Kroll is 1609410596. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Justin Kroll located?

Justin Kroll practices at 1902 13th St, Port Huron, MI 48060. The listed phone number is (810) 300-8536.

What is Justin Kroll's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Justin Kroll was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.