Individual provider Active NPI

Sarah Cronin, PHD, LP

  • Counseling Psychologist
  • Bemidji, MN
National Provider Identifier
1558100800
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP6488 Issued in MN
Practice address
5756 Park Preserve TRL
Bemidji, MN 56601-6392
Phone
(218) 208-0141
NPI assigned
May 24, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP6488 MN Primary

Addresses

Primary practice location

5756 Park Preserve TRL
Bemidji, MN 56601-6392

Mailing address

5756 Park Preserve TRL
Bemidji, MN 56601-6392
Phone (218) 208-0141

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP6488MNMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1558100800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 PARK PRESERVE TRL",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016392",
            "telephone_number": "218-208-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 PARK PRESERVE TRL",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016392",
            "telephone_number": "218-208-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "SARAH",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.