Organization Active NPI

Endeavor Integrative Therapy LLC

  • Mental Health Counselor
  • Woodbury, MN
National Provider Identifier
1922930833
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ENDEAVOR INTEGRATIVE THERAPY LLC
Practice address
611 Bielenberg Dr Ste 3-102
Woodbury, MN 55125-1431
Phone
(651) 390-5453
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Joseph Krohn, LPCC, LADCNPI 1003762436
Title
Founder/Owner
Phone
(651) 390-5453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

611 Bielenberg Dr Ste 3-102
Woodbury, MN 55125-1431

Mailing address

611 Bielenberg Dr Ste 3-102
Woodbury, MN 55125-1431
Phone (651) 390-5453

National Provider Directory

National Provider Directory

Locations

611 Bielenberg Dr
Ste 3102
Woodbury, MN 55125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1922930833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG DR STE 3-102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251431",
            "telephone_number": "651-390-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG DR STE 3-102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251431",
            "telephone_number": "651-390-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR INTEGRATIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "651-390-5453",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.