Provider Demographics
NPI:1326853219
Name:THE KRIS KREGER FOUNDATION
Entity type:Organization
Organization Name:THE KRIS KREGER FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:BEAL
Authorized Official - Suffix:
Authorized Official - Credentials:BCD LCSW
Authorized Official - Phone:814-444-9696
Mailing Address - Street 1:445 WESTRIDGE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1157
Mailing Address - Country:US
Mailing Address - Phone:814-444-9696
Mailing Address - Fax:814-444-0345
Practice Address - Street 1:445 WESTRIDGE RD STE 103
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1157
Practice Address - Country:US
Practice Address - Phone:814-444-9696
Practice Address - Fax:814-444-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty