Healthcare Provider Details

I. General information

NPI: 1558584557
Provider Name (Legal Business Name): JUDY L KROGER M.A., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 HOSBROOK RD SUITE 300
CINCINNATI OH
45236-2951
US

IV. Provider business mailing address

6866 PRAIRE VIEW DR
MAINEVILLE OH
45039-7251
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-5990
  • Fax: 513-792-3308
Mailing address:
  • Phone: 513-791-5990
  • Fax: 513-792-3308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberC 0004783
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC 0004783
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: