KPM Counseling and Consultation PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KPM COUNSELING AND CONSULTATION PLLC

Practice address

825 Nicollet Mall Ste 1950
Minneapolis, MN 55402-2707

Phone

(952) 999-3130

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Grace Kim, PH.DNPI 1790012318

Title

Owner / Mental Health Therapist

Phone

(952) 999-3130

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Y Kim, PH.D.

  • Psychologist
  • Minneapolis, MN
  • NPI 1790012318
  Medicare reassignment Care Compare group NPD Authorized official
• Travis Lane Mathias, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1841706967
  Medicare reassignment Care Compare group NPD
• Roger Pollock, LMSW

  • Social Worker
  • Minneapolis, MN
  • NPI 1326553447
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1003615360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1950",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1950",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022707",
            "telephone_number": "952-999-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPM COUNSELING AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER / MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "952-999-3130",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven F. Kozberg, PH.D.
• Thomas Kozhimannil, M.D.
• Brandy Kozitza, DNP, APRN, ACCNS-AG
• Elizabeth Irene Kozub, MS, APRN-CNS
• Ophelia Kpewoan, NURSE
• Jay H Krachmer, MD
• Lindsay Rose Kraemer, OTR/L
• Mark D Kraemer, M.D.
• Rachel Elizabeth Kraemer, AU.D.
• Colleen Sharon Kraft, DNP, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.