STACEY KRUEGER LPC
NPI 1932872199
Counselor - Mental Health in Phoenix, AZ

Q: What is Stacey Krueger's NPI number?

The NPI number for Stacey Krueger is 1932872199. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Q: What is Stacey Krueger's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Stacey Krueger enrolled in Medicare?

No. Stacey Krueger has opted out of Medicare through October 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Stacey Krueger was last updated on May 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2021Opted out of Medicare · through Oct 7, 2026

11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028(602) 492-8948(480) 542-2103 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2026, Oct 10, 2024, Sep 10, 2024 and 1 more (4 updates tracked since 2021).

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About Stacey Krueger Lpc NPPES

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

STACEY KRUEGER LPC (NPI 1932872199) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-22793) and active in the NPI registry since July 2021. She has opted out of Medicare through October 7, 2026.

NPPES Registry Identity

NPI1932872199

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACEY KRUEGERCredential: LPC

Location Address11811 N TATUM BLVD STE 3031Phoenix, AZ 85028-1621

Mailing Address11811 N Tatum Blvd Ste 3031Phoenix, AZ 85028-1621 · (602) 492-8948 · Fax (480) 542-2103

Phone(602) 492-8948

Fax(480) 542-2103

Sole ProprietorYes

Enumeration DateJuly 25, 2021

Last NPPES UpdateMay 27, 20264 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1932872199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · LPC-22793

11811 N TATUM BLVD STE 3031, Phoenix, AZ 85028

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Stacey Krueger Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2024 through October 7, 2026.

Opt-Out Effective DateOctober 7, 2024

Opt-Out In Effect ThroughOctober 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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