Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609410596 Individual Practitioner Male Practitioner

Justin S Kroll

Prevention Professional • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Justin Kroll is a registered healthcare professional specializing in Prevention Professional in Port Huron, MI. Practice services are available at 1902 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1902 13th St

Port Huron, MI 480606238

Telephone 8103008536
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prevention Professional in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Port Huron, MI (20 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-10
Prevention Professional Primary Specialty

NUCC Taxonomy Code: 405300000X

State License CT 1863

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1863 (CT)
Commercial Insurance / Payer ID Do Not Have
0000000

Secondary Practice Locations

924 Wall St

Port Huron, MI 480605216

Phone: 8103008536

1234 Minnie St

Port Huron, MI 480606267

Phone: 8103008536

1036 Wall St

Port Huron, MI 480605218

Phone: 8103008536

1033 Wall St

Port Huron, MI 480605217

Phone: 8103008536

735 Wall St

Port Huron, MI 480605377

Phone: 8103008536

733 Wall St

Port Huron, MI 480605321

Phone: 8103008536

1319 Griswold St

Port Huron, MI 480605758

Phone: 8103008536

1220 Lapeer Ave

Port Huron, MI 480604352

Phone: 8103008536

904 Tunnel St

Port Huron, MI 480606374

Phone: 8103008536

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2019

Registered at 1902 13TH ST, PORT HURON, MI 480606238 (Tel: 8103008536)

📍
Updated Business Mailing Address November 04, 2019

Registered at 1902 13TH ST, PORT HURON, MI 480606238 (Tel: 8103008536)

👤
Provider Name / Credentials Updated November 04, 2019

Recorded as JUSTIN KROLL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2019

Prevention Professional (License #1863 in CT)

🟢
Initial NPI Registration & Enumeration November 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609410596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2019
Last Update: December 10, 2020
Sole Proprietor: Yes

Mailing Address

1902 13th St

Port Huron, MI 480606238

Phone: 8103008536

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.