Active NPI
Kindred Grit Therapeutic Services
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1417809419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- KINDRED GRIT THERAPEUTIC SERVICES
- Practice address
- 202 Cedar Lake Rd S
Minneapolis, MN 55405-2006 - Phone
- (612) 440-8473
- NPI assigned
- Feb 11, 2026
- 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
- Alex Liu, LPCC-S
- Title
- Owner/Therapist
- Phone
- (612) 440-8473
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
202 Cedar Lake Rd S
Minneapolis, MN 55405-2006
Mailing address
202 Cedar Lake Rd S
Minneapolis, MN 55405-2006
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Minneapolis, MN
- NPI 1629586532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1417809419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CEDAR LAKE RD S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CEDAR LAKE RD S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052006",
"telephone_number": "612-440-8473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED GRIT THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "612-440-8473",
"authorized_official_credential": "LPCC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.