ENDEAVOR INTEGRATIVE THERAPY LLC
NPI 1922930833
Counselor - Mental Health in Woodbury, MN
About Endeavor Integrative Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENDEAVOR INTEGRATIVE THERAPY LLC (NPI 1922930833) is a healthcare organization registered as a mental health in Woodbury, Minnesota and active in the NPI registry since June 2026. The organization lists Joseph Krohn, Founder/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Endeavor Integrative Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Endeavor Integrative Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Endeavor Integrative Therapy LLC's NPI number?
The NPI number for Endeavor Integrative Therapy LLC is 1922930833. It was assigned to this organization in the NPPES registry on June 3, 2026.
Where is Endeavor Integrative Therapy LLC located?
Endeavor Integrative Therapy LLC is located at 611 Bielenberg Dr Ste 3-102, Woodbury, MN 55125. The listed phone number is (651) 390-5453.
What is Endeavor Integrative Therapy LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Endeavor Integrative Therapy LLC enrolled in Medicare?
Yes. Endeavor Integrative Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Endeavor Integrative Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Endeavor Integrative Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Endeavor Integrative Therapy LLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Endeavor Integrative Therapy Llc · NPI 1922930833
Mental Health organization in Woodbury, Minnesota. Organization record, active in the CMS NPPES registry since June 3, 2026.
## Identity
- **NPI:** 1922930833 (Entity type: Organization)
- **Enumerated:** June 3, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Joseph Krohn, FOUNDER/OWNER
## Practice location
- **Address:** 611 BIELENBERG DR STE 3-102, Woodbury, MN 55125-1431
- **Phone:** (651) 390-5453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922930833) · Data from the CMS NPPES public registry.