Cory Krueger, MS, LPC-IT, SAC-IT
Cory Krueger, MS, LPC-IT, SAC-IT is a Professional Counselor in Jefferson, WI, registered under NPI 1417407297. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1541 ANNEX RD, Jefferson, WI 53549. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 3039-226 | WI | Professional Counselor primary |
| 17863-130 | WI | Addiction (Substance Use Disorder)… |
This provider holds licence 3039-226 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Professional covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor Professional | 3039-226 | WI | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 17863-130 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417407297 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 5, 2016 |
| Last updated | Oct 5, 2016 |
| Status | Active |
| Sole proprietor | No |
| Credential | MS, LPC-IT, SAC-IT |
| Practice address |
1541 ANNEX RD Jefferson, WI 53549 (920) 674-3105 |
| Mailing address |
W7210 COUNTY ROAD V Lake Mills, WI 53551 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 4 | 0 | 7 | 2 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 8 | 0 | 5 | 2 | 9 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.