Active NPI
Kelly Ann Salzl, MS, LMFT
- Marriage & Family Therapist
- Big Lake, MN
National Provider Identifier
1013163138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1316
- Practice address
- 35 Lake St S
Big Lake, MN 55309-4588 - Phone
- (763) 263-7896
- NPI assigned
- Aug 8, 2008
- Last updated
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1316 | MN | Primary |
Addresses
Primary practice location
35 Lake St S
Big Lake, MN 55309-4588
Mailing address
35 Lake St S
PO Box 3
Big Lake, MN 55309-4588
Phone (763) 263-7896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1316 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Prospective Resources, Inc | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Big Lake, MN
- NPI 1336367242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1013163138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LAKE ST S",
"address_2": "PO BOX 3",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553094588",
"telephone_number": "763-263-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 LAKE ST S",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553094588",
"telephone_number": "763-263-7896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALZL",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.