Individual provider Active NPI

Eleanor Croce

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1013435437
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3485 Issued in MN
Practice address
25 W Diamond Lake Rd
Minneapolis, MN 55419-1926
Phone
(612) 716-7040
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3485 MN Primary

Addresses

Primary practice location

25 W Diamond Lake Rd
Minneapolis, MN 55419-1926

Mailing address

3546 38TH Ave S
Minneapolis, MN 55406-2713

Other practice location 1

718 Washington Ave N Ste 303
Minneapolis, MN 55401-3502
Phone (612) 824-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013435437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 38TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W DIAMOND LAKE RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191926",
            "telephone_number": "612-716-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Washington Ave N Ste 303",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554013502",
            "country_code": "US",
            "telephone_number": "612-824-3369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCE",
        "first_name": "ELEANOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.