Kyle Lipinski, MSS, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Saint Paul, MN
NPI 1003454356 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1003454356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 305060 (MN)
- Practice address
- 438 Dorothy Day PL
Saint Paul, MN 55102-1081 - Phone
- (651) 793-2219
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amherst H. Wilder Foundation
Practice addresses (Care Compare)
451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Phone (651) 280-2310
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102002746 | MN | Practitioner - Mental Health Counselor | 7416307590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305060 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 2647 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst H. Wilder Foundation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305060 | MN | Yes |
Addresses
Primary practice location
438 Dorothy Day PL
Saint Paul, MN 55102-1081
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 389-2540
Other providers in Saint Paul, MN
- Ann S. Linnere
- Kelly R Linnihan
- Michelle Linnihan
- Jeanne Marie Lins
- Anna Marie Lipinski
- Katherine Lipovetsky
- William Jeffrey Lippka
- Carol H. Lipschultz
- David Harris Lipschultz
- Joshua Gordon Lipschultz
All providers in Saint Paul, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.