Individual provider Active NPI

Joseph Daniel Krohn

  • Mental Health Counselor
  • Woodbury, MN
National Provider Identifier
1003762436
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
611 Bielenberg Dr Ste 3-102
Woodbury, MN 55125-1431
Phone
(651) 390-5453
NPI assigned
Mar 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

611 Bielenberg Dr Ste 3-102
Woodbury, MN 55125-1431

Mailing address

611 Bielenberg Dr Ste 3-102
Woodbury, MN 55125-1431
Phone (651) 390-5453

Other practice location 1

7250 Hudson Blvd N Ste 205
Oakdale, MN 55128-7162
Phone (651) 374-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

611 Bielenberg Dr
Suite 3 102
Woodbury, MN 55125-1431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Integrative Therapy LLC Mental Health CurrentSince Jul 20, 2026 Accepting new patients

Locations

611 Bielenberg Dr
Ste 3102
Woodbury, MN 55125

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1003762436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG DR STE 3-102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251431",
            "telephone_number": "651-390-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG DR STE 3-102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251431",
            "telephone_number": "651-390-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Hudson Blvd N Ste 205",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551287162",
            "country_code": "US",
            "telephone_number": "651-374-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROHN",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.