Individual provider Active NPI

Gloria Balein Kranenburg, MPS

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1922884063
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5237 Issued in MN
Practice address
475 Cleveland Ave N Ste 316
Saint Paul, MN 55104-5051
Phone
(651) 330-3434
NPI assigned
Sep 5, 2023
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 306767 MN
Professional Counselor 101YP2500X 5237 MN Primary

Addresses

Primary practice location

475 Cleveland Ave N Ste 316
Saint Paul, MN 55104-5051

Mailing address

475 Cleveland Ave N Ste 316
Saint Paul, MN 55104-5051
Phone (651) 330-3434

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
I20251126003669 MN Practitioner - Mental Health Counselor 0446742308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

475 Cleveland Ave N
Suite 316
Saint Paul, MN 55104-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306767MNMDAddiction (Substance Use Disorder) Counselor
5237MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Larkey and Wright Inc CurrentSince Nov 14, 2025 Accepting new patients

Locations

475 Cleveland Ave N
Ste 316
Saint Paul, MN 55104
Phone (651) 330-3434

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, 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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1922884063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N STE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045051",
            "telephone_number": "651-330-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N STE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045051",
            "telephone_number": "651-330-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANENBURG",
        "first_name": "GLORIA",
        "middle_name": "BALEIN",
        "credential": "MPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306767",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.