Individual provider Active NPI

Crysta Rochele Cadalbert, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
National Provider Identifier
1447084884
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
307129 Issued in MN
Practice address
1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone
(651) 243-2161
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 307129 MN Primary

Addresses

Primary practice location

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885

Mailing address

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone (651) 243-2161

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
307129MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Providence 99:1 Addiction (Substance Use Disorder) Current Accepting new patients
Living Free Recovery Services, LLC Addiction (Substance Use Disorder) PastSince Sep 1, 2024 Accepting new patients

Locations

1330 Lagoon Ave
Fl 4
Minneapolis, MN 55408
Phone (612) 459-7771

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1447084884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "651-243-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "651-243-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADALBERT",
        "first_name": "CRYSTA",
        "middle_name": "ROCHELE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "307129",
            "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 May 9, 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.

Verify at the official NPI Registry.