Individual provider Active NPI

Kelsey Lundquist

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1003266883
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3036 Issued in MN
Practice address
1114 Grand Ave
Saint Paul, MN 55105-2628
Phone
(612) 284-1848
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3036 MN Primary

Addresses

Primary practice location

1114 Grand Ave
Saint Paul, MN 55105-2628

Mailing address

1114 Grand Ave
Saint Paul, MN 55105-2628
Phone (612) 284-1848

Other practice location 1

541 Selby Ave
Saint Paul, MN 55102-1728
Phone (612) 284-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250106003446 MN Practitioner - Marriage and Family Therapist 4981132818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Down to Earth Therapy LLCGroup PAC ID 6800233537, 5 clinicians

Practice addresses (Care Compare)

1114 Grand Ave
Saint Paul, MN 55105-2628
Phone (651) 352-7105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Down to Earth Therapy LLC Marriage & Family Therapist CurrentSince Sep 28, 2024 Accepting new patients
Kente Circle Past Accepting new patients

Locations

1114 Grand Ave
Saint Paul, MN 55105
Phone (612) 284-1848

541 Selby Ave
Saint Paul, MN 55102
Phone (612) 284-1848

Organizations & group practices 2

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1003266883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "612-284-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "612-284-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Selby Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551021728",
            "country_code": "US",
            "telephone_number": "612-284-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.