Individual provider Active NPI

Kendra Troske-Krska, LPCC, LADC

  • Mental Health Counselor
  • Eagan, MN
National Provider Identifier
1508496506
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1964 Issued in MN
Practice address
3460 Washington Dr Ste 110
Eagan, MN 55122-4301
Phone
(651) 688-0488
Fax
(844) 700-2814
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304958 MN
Mental Health Counselor 101YM0800X 1964 MN Primary

Addresses

Primary practice location

3460 Washington Dr Ste 110
Eagan, MN 55122-4301

Mailing address

6404 Emerson Ave S
Richfield, MN 55423-1315
Phone (651) 249-9325

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
304958MNMDAddiction (Substance Use Disorder) Counselor
1964MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Center for Child & Family Therapy, PLLC CurrentSince Jan 26, 2020 Accepting new patients

Locations

3460 Washington Dr
Ste 110
Saint Paul, MN 55122
Phone (651) 452-1618

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": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1508496506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 EMERSON AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231315",
            "telephone_number": "651-249-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224301",
            "telephone_number": "651-688-0488",
            "fax_number": "844-700-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSKE-KRSKA",
        "first_name": "KENDRA",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304958",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.