Active NPI
Denae R Kuenzel, PSYD, LP
- Counseling Psychologist
- Elk River, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP6407
- Practice address
- 253 8TH St NW Ste a
Elk River, MN 55330-1581 - Phone
- (763) 441-3770
- Fax
- (763) 441-9057
- NPI assigned
- Nov 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2866 | MN | |
| Counseling Psychologist | 103TC1900X | LP6407 | MN | Primary |
Addresses
Primary practice location
253 8TH St NW Ste a
Elk River, MN 55330-1581
Mailing address
21308 John Milless Dr Ste 206
Rogers, MN 55374-4870
Phone (637) 445-9758
Other practice location 1
701 25th Ave S
Suite 200
Minneapolis, MN 55454-1513
Phone (612) 339-2836
Other practice location 2
21308 John Milless Dr Ste 206
Rogers, MN 55374
Phone (763) 445-9758
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
21308 John Milless Dr
Suite 206
Rogers, MN 55374-4870
Phone (763) 445-9758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6407 | MN | MD | Counseling Psychologist |
| 2866 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regroup Counseling and Consulting PSC | Current | Accepting new patients | |
| Monarch Counseling Collaborative PA | Current | Accepting new patients | |
| Central Minnesota Mental Health Center | Past | Accepting new patients |
Locations
18336 Joplin St NW
Elk River, MN 55330
Phone (763) 350-9687
586 Dodge Ave NW
Ste B
Elk River, MN 55330
Phone (763) 350-9687
21308 John Milless Dr
Ste 206
Rogers, MN 55374
Phone (763) 445-9758
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rogers, MN
- NPI 1801632096
-
- Marriage & Family Therapist
- Elk River, MN
- NPI 1194298026
-
- Mental Health Counselor
- Elk River, MN
- NPI 1164934303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1033446331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21308 JOHN MILLESS DR STE 206",
"city": "ROGERS",
"state": "MN",
"postal_code": "553744870",
"telephone_number": "637-445-9758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 8TH ST NW STE A",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301581",
"telephone_number": "763-441-3770",
"fax_number": "763-441-9057"
}
],
"practiceLocations": [
{
"address_1": "701 25th Ave S",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541513",
"country_code": "US",
"telephone_number": "612-339-2836",
"fax_number": "612-339-9741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21308 John Milless Dr Ste 206",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "MN",
"postal_code": "55374",
"country_code": "US",
"telephone_number": "763-445-9758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUENZEL",
"first_name": "DENAE",
"middle_name": "R",
"credential": "PSYD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2866",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP6407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.