Individual provider Active NPI

Lorin D Kroeger, LPCC

  • Mental Health Counselor
  • St Louis Park, MN
National Provider Identifier
1992198394
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC05340 Issued in MN
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

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500703420MedicaidOR

Other names 1

  • Lorin D Hillis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241107002630 OR Practitioner - Other (Non-Physician) 3870027287 Reassigns benefits to 1 organization
I20241111000794 OR Practitioner - Mental Health Counselor 3870027287 Reassigns benefits to 1 organization
I20260216000646 MN Practitioner - Mental Health Counselor 3870027287 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CC05340MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Floor Therapy LLC CurrentSince Jan 22, 2026 Accepting new patients
Native American Rehabilitation Assoc Inc CurrentSince Jul 27, 2024 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.

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

Verify at the official NPI Registry.