Active NPI
Lorin D Kroeger, LPCC
- Mental Health Counselor
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC05340
- Practice address
- 4601 Excelsior Blvd Ste 331
St Louis Park, MN 55416-5228 - Phone
- (612) 234-6190
- Fax
- (612) 234-6191
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C8223 | OR | |
| Mental Health Counselor | 101YM0800X | CC05340 | MN | Primary |
Addresses
Primary practice location
4601 Excelsior Blvd Ste 331
St Louis Park, MN 55416-5228
Mailing address
202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone (612) 234-6190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500703420 | Medicaid | OR |
Other names 1
- Lorin D Hillis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13100 Berkshire Dr
Minnetonka, MN 55343-8641
4601 Excelsior Blvd
Suite 331
St Louis Park, MN 55416-4996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC05340 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Floor Therapy LLC | Current | Accepting new patients | |
| Native American Rehabilitation Assoc Inc | Current | Accepting new patients | |
| Columbiacare Services | Past | Accepting new patients | |
| Columbiacare Services | Past | Accepting new patients |
Locations
4601 Excelsior Blvd
Ste 331
St Louis Park, MN 55416
Phone (612) 234-6190
12360 E Burnside St
Portland, OR 97233
Phone (971) 279-4800
1776 SW Madison St
Portland, OR 97205
Phone (503) 224-1044
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
- NPI 1316896475
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1396734364
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1053691972
-
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1275620411
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1982140588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1992198394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N CEDAR AVE STE 1",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602306",
"telephone_number": "612-234-6190",
"fax_number": "612-234-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 EXCELSIOR BLVD STE 331",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165228",
"telephone_number": "612-234-6190",
"fax_number": "612-234-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "LORIN",
"middle_name": "D",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C8223",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC05340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500703420",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORIN",
"last_name": "HILLIS",
"middle_name": "D",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.