Individual provider Active NPI

Michelle Kahler, LMFT

  • Mental Health Counselor
  • Chisago City, MN
National Provider Identifier
1013572007
Registry record updated May 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2949 Issued in MN
Practice address
11549 Lake LN Ste 2
Chisago City, MN 55013-9201
Phone
(651) 257-2733
NPI assigned
May 5, 2019
Sex
Female
Sole proprietor
Yes

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.

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

State licenses

LicenseStateTypeSpecialty
2949MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Based Therapy Associates Mental Health PastSince Jan 1, 2024 Accepting new patients
Family Based Therapy Associates Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2949 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

11549 Lake LN Ste 2
Chisago City, MN 55013-9201

Mailing address

1741 Pinewood Dr
Shoreview, MN 55126-4944
Phone (651) 402-9372

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2019.

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557014400000",
    "number": "1013572007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 PINEWOOD DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264944",
            "telephone_number": "651-402-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 LAKE LN STE 2",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139201",
            "telephone_number": "651-257-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLER",
        "first_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-05",
        "last_updated": "2019-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisago City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.