Individual provider Active NPI

Jasmine Kroese, MA

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1902590136
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
333 Grand Ave Ste 205
Saint Paul, MN 55102-2583
Phone
(651) 294-2307
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

333 Grand Ave Ste 205
Saint Paul, MN 55102-2583

Mailing address

1780 Hewitt Ave
Saint Paul, MN 55104-1129
Phone (925) 885-9221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 Grand Ave
Suite 205
Saint Paul, MN 55102-2325

333 Grand Ave
Suite 205
Saint Paul, MN 55102-2583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Yngsdahl , Ma, Licensed Psychologist, LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

333 Grand Ave
Ste 205
Saint Paul, MN 55102
Phone (651) 294-2307

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1902590136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 HEWITT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041129",
            "telephone_number": "925-885-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022583",
            "telephone_number": "651-294-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROESE",
        "first_name": "JASMINE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.