Provider Demographics
NPI:1912636838
Name:KAUS, JOSHUA RUSSELL (LPCC, LADC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:RUSSELL
Last Name:KAUS
Suffix:
Gender:M
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 GREENVIEW DR SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-4319
Mailing Address - Country:US
Mailing Address - Phone:507-512-3465
Mailing Address - Fax:
Practice Address - Street 1:1620 GREENVIEW DR SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4319
Practice Address - Country:US
Practice Address - Phone:507-512-3465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN306396101YA0400X
MN3375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)