Individual provider Active NPI

Josette Croud, LPCC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1265108625
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02894 Issued in MN
Practice address
1113 E Franklin Ave
Minneapolis, MN 55404-2974
Phone
(612) 872-8086
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2894 MN
Professional Counselor 101YP2500X CC02894 MN Primary

Addresses

Primary practice location

1113 E Franklin Ave
Minneapolis, MN 55404-2974

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (666) 030-0168

Other practice location 1

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (866) 603-0016

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcroud565233@excellian.direct.allina.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240114000010 MN Practitioner - Mental Health Counselor 3577911106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

45 W 10TH St
Suite 3000
St Paul, MN 55102-1062
Phone (651) 326-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02894MNMDProfessional Counselor
2894MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jan 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Cabot Psychological Services, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Fairview Express Care Current Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2024 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

7301 Ohms Ln
Ste 450
Minneapolis, MN 55439
Phone (952) 831-2000

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

45 10th St W
Ste 3000
Saint Paul, MN 55102
Phone (651) 326-4800

Interoperability endpoints

  • Direct secure messaging: jcroud565233@excellian.direct.allina.com

Organizations & group practices 7

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1265108625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "666-030-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042974",
            "telephone_number": "612-872-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071321",
            "country_code": "US",
            "telephone_number": "866-603-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUD",
        "first_name": "JOSETTE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcroud565233@excellian.direct.allina.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2925 Chicago Ave",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554071321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.