Individual provider Active NPI

Marlee Ann Kruzel, LPCC

  • Counselor
  • Minnetonka, MN
National Provider Identifier
1821842113
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC04374 Issued in MN
Practice address
10650 Red Circle Dr Ste 103
Minnetonka, MN 55343-9184
Phone
(612) 913-4600
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC04374 MN Primary

Addresses

Primary practice location

10650 Red Circle Dr Ste 103
Minnetonka, MN 55343-9184

Mailing address

10650 Red Circle Dr Ste 103
Minnetonka, MN 55343-9184
Phone (612) 913-4600

Other practice location 1

2324 University Ave W Ste 120
Saint Paul, MN 55114-1854
Phone (651) 337-4140

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
I20251007000625 MN Practitioner - Mental Health Counselor 8224535406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6426 83Rd Ave S
Horace, ND 58047-2823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC04374MNMDCounselor
4374MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Center for Psychology, LLC CurrentSince Sep 26, 2025 Accepting new patients

Locations

2324 University Ave W
Ste 120
Saint Paul, MN 55114
Phone (651) 644-4100

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1821842113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 RED CIRCLE DR STE 103",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439184",
            "telephone_number": "612-913-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 RED CIRCLE DR STE 103",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439184",
            "telephone_number": "612-913-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 University Ave W Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141854",
            "country_code": "US",
            "telephone_number": "651-337-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUZEL",
        "first_name": "MARLEE",
        "middle_name": "ANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC04374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.