Provider Demographics
NPI:1164232070
Name:KR COUNSELING
Entity type:Organization
Organization Name:KR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:ROEMELING
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC LADC
Authorized Official - Phone:320-492-9347
Mailing Address - Street 1:18687 COUNTY ROAD 9
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MN
Mailing Address - Zip Code:56310-9630
Mailing Address - Country:US
Mailing Address - Phone:320-492-9347
Mailing Address - Fax:
Practice Address - Street 1:3152 COUNTY ROAD 74
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-8904
Practice Address - Country:US
Practice Address - Phone:320-492-9347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty