Individual provider Active NPI

Peter Joseph Kroll, LMFT

  • Marriage & Family Therapist
  • Duluth, MN
National Provider Identifier
1508238106
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3015 Issued in MN
Practice address
332 W Superior St
Duluth, MN 55802-1808
Phone
(218) 722-4379
Fax
(218) 722-4333
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3015 MN Primary

Addresses

Primary practice location

332 W Superior St
Duluth, MN 55802-1808

Mailing address

332 W Superior St
Duluth, MN 55802-1808
Phone (218) 722-4379

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
I20240528003484 MN Practitioner - Marriage and Family Therapist 0749622322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
HP Psychological Associates PCGroup PAC ID 1951658152, 9 clinicians

Practice addresses (Care Compare)

4135 Richard Ave
Suite 201
Hermantown, MN 55811-2979
Phone (218) 464-0908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria Patri Counseling LLC CurrentSince May 28, 2024 Accepting new patients
HP Psychological Associates, PC CurrentSince Apr 22, 2024 Accepting new patients
Compassionate Quality Psychiatry PLLC CurrentSince Apr 22, 2024 Accepting new patients
Nystrom & Associates, LTD Marriage & Family Therapist Past Accepting new patients

Locations

325 E 3rd St
Duluth, MN 55805
Phone (218) 213-3658

4135 Richard Ave
Ste 201
Hermantown, MN 55811
Phone (218) 464-0908

Organizations & group practices 4

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1508238106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021808",
            "telephone_number": "218-722-4379",
            "fax_number": "218-722-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021808",
            "telephone_number": "218-722-4379",
            "fax_number": "218-722-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.