Individual provider Active NPI

Kendrick Hogue, MA, LPCC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1972326460
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4675 Issued in MN
Practice address
2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257
Phone
(651) 647-1083
Fax
(651) 642-1230
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4675 MN Primary

Addresses

Primary practice location

2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257

Mailing address

2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257
Phone (651) 647-1083

Other names 1

  • Kendrick Cronin Former name

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
I20250213002121 MN Practitioner - Mental Health Counselor 5193255602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians
Autism Society of MinnesotaGroup PAC ID 8224921242, 5 clinicians

Practice addresses (Care Compare)

Saint Paul, MN 55116
Phone (415) 360-3348

2380 Wycliff St
Suite 102
Saint Paul, MN 55114-1257
Phone (651) 647-1083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Mental Health Systems PC CurrentSince Dec 8, 2024 Accepting new patients
Autism Society of Minnesota CurrentSince May 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6600 France Ave S
Ste 230
Minneapolis, MN 55435
Phone (952) 460-9007

2136 Ford Pkwy
#5608
Saint Paul, MN 55116

2380 Wycliff St
Ste 102
Saint Paul, MN 55114
Phone 6516471083 ext. 17

Organizations & group practices 3

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1972326460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "651-647-1083",
            "fax_number": "651-642-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "651-647-1083",
            "fax_number": "651-642-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "KENDRICK",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRICK",
            "last_name": "CRONIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.