Individual provider Active NPI

Catherine Lynn Cronemeyer, M.A.

  • Counselor
  • Golden Valley, MN
National Provider Identifier
1386877298
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5101 Olson Memorial Hwy Ste 4006
Golden Valley, MN 55422-5164
Phone
(763) 595-7294
Fax
(763) 595-7294
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP5570 MN
Counselor 101Y00000X Primary

Addresses

Primary practice location

5101 Olson Memorial Hwy Ste 4006
Golden Valley, MN 55422-5164

Mailing address

5101 Olson Memorial Hwy Ste 4006
Golden Valley, MN 55422-5164
Phone (763) 595-7294

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
I20130430000617 MN Practitioner - Clinical Psychologist 6103063631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5101 Olson Memorial Hwy
Suite 4006
Golden Valley, MN 55422-5164
Phone 7635957294416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine L. Cronemeyer, Psy.D., L.P., L.L.C. Counseling CurrentSince Feb 16, 2015 Accepting new patients

Locations

5101 Olson Memorial Hwy
Ste 4006
Minneapolis, MN 55422
Phone (612) 246-3017

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1386877298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 OLSON MEMORIAL HWY STE 4006",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554225164",
            "telephone_number": "763-595-7294",
            "fax_number": "763-595-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 OLSON MEMORIAL HWY STE 4006",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554225164",
            "telephone_number": "763-595-7294",
            "fax_number": "763-595-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONEMEYER",
        "first_name": "CATHERINE",
        "middle_name": "LYNN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5570",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.