Organization Active NPI

Forest Floor Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
National Provider Identifier
1316896475
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FOREST FLOOR THERAPY LLC
Practice address
4601 Excelsior Blvd Ste 331
St Louis Park, MN 55416-5228
Phone
(612) 234-6190
Fax
(612) 234-6191
NPI assigned
Jan 22, 2026
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Lorin D Kroeger, LPCCNPI 1992198394
Title
Owner
Phone
(612) 234-6190

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4601 Excelsior Blvd Ste 331
St Louis Park, MN 55416-5228

Mailing address

4601 Excelsior Blvd Ste 331
St Louis Park, MN 55416-5228
Phone (612) 234-6190

Other identifiers 1

IdentifierTypeStateIssuer
500703420MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216000582 MN Part B Supplier - Clinic/Group Practice 5799265187 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis Park, MN

National Provider Directory

National Provider Directory

Locations

4601 Excelsior Blvd
Ste 331
St Louis Park, MN 55416
Phone (612) 234-6190

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.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1316896475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 331",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "612-234-6190",
            "fax_number": "612-234-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 331",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "612-234-6190",
            "fax_number": "612-234-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST FLOOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-234-6190",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500703420",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.

Verify at the official NPI Registry.