Individual provider Active NPI

Caitlin Krenz, LPCC

  • Professional Counselor
  • Rochester, MN
National Provider Identifier
1417497660
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1472 Issued in MN
Practice address
1652 Greenview Dr SW
Rochester, MN 55902-4219
Phone
(507) 288-6978
NPI assigned
Mar 6, 2017
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1472 MN Primary

Addresses

Primary practice location

1652 Greenview Dr SW
Rochester, MN 55902-4219

Mailing address

1403 30TH St NW
Rochester, MN 55901-7725
Phone (701) 391-3029

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

State licenses

LicenseStateTypeSpecialty
1472MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Day Counseling Center LLC CurrentSince Dec 6, 2020 Accepting new patients
Highland Meadows Counseling Center, Inc. PastSince Jan 29, 2013 Accepting new patients

Locations

300 3rd Ave SE
Ste 408
Rochester, MN 55904
Phone (507) 208-4001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1417497660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 30TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017725",
            "telephone_number": "701-391-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 GREENVIEW DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024219",
            "telephone_number": "507-288-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZ",
        "first_name": "CAITLIN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.