Individual provider Active NPI

Kayla Marie Hanna, MS, LPCC

  • Professional Counselor
  • Grand Rapids, MN
National Provider Identifier
1013473404
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02038 Issued in MN
Practice address
104 NE 3Rd St # 200H
Grand Rapids, MN 55744-2869
Phone
(218) 999-7081
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02038 MN Primary

Addresses

Primary practice location

104 NE 3Rd St # 200H
Grand Rapids, MN 55744-2869

Mailing address

104 NE 3Rd St # 200H
Grand Rapids, MN 55744-2869
Phone (218) 999-7081

Other names 1

  • Kayla Marie Meyer Former name

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
I20251208001793 MN Practitioner - Mental Health Counselor 4880187871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Beginnings Counseling LLCGroup PAC ID 9638501661, 3 clinicians

Practice addresses (Care Compare)

104 NE 3Rd St
Grand Rapids, MN 55744-2869
Phone (218) 999-7081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CC02038MNMDProfessional Counselor
2038MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling LLC CurrentSince Nov 25, 2025 Accepting new patients

Locations

104 NE 3rd St
#200H
Grand Rapids, MN 55744
Phone (218) 259-5566

104 NE 3rd St
Grand Rapids, MN 55744
Phone (218) 301-7226

104 NE 3rd St
Ste 200H
Grand Rapids, MN 55744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1013473404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NE 3RD ST # 200H",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442869",
            "telephone_number": "218-999-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NE 3RD ST # 200H",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442869",
            "telephone_number": "218-999-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MEYER",
            "middle_name": "MARIE",
            "credential": "MS, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.