Active NPI
Gloria Patri Counseling LLC
- Community/Behavioral Health Agency
- Duluth, MN
National Provider Identifier
1104671866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GLORIA PATRI COUNSELING LLC
- Practice address
- 325 E 3Rd St
Duluth, MN 55805-1860 - Phone
- (218) 213-3658
- NPI assigned
- Apr 17, 2024
- Last updated
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Joseph Kroll
- Title
- Owner
- Phone
- (218) 213-3658
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
325 E 3Rd St
Duluth, MN 55805-1860
Mailing address
10 Laitinen Dr
Esko, MN 55733-9741
Phone (218) 213-3658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
325 E 3rd St
Duluth, MN 55805
Phone (218) 213-3658
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Duluth, MN
- NPI 1508238106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1104671866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAITINEN DR",
"city": "ESKO",
"state": "MN",
"postal_code": "557339741",
"telephone_number": "218-213-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051860",
"telephone_number": "218-213-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA PATRI COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "KROLL",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-213-3658"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.