Healthcare Provider Details

I. General information

NPI: 1144473307
Provider Name (Legal Business Name): MELISSA ANN KROH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 E CAPITOL AVE STE 100
BISMARCK ND
58501-2102
US

IV. Provider business mailing address

815 37TH AVE S STE 200
MOORHEAD MN
56560-5524
US

V. Phone/Fax

Practice location:
  • Phone: 701-471-7092
  • Fax: 701-401-0267
Mailing address:
  • Phone: 701-471-7092
  • Fax: 701-401-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number648-12-1-09-661
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: