Individual provider Active NPI

Kyle J Slawson, LPCC, LADC

  • Professional Counselor
  • Edina, MN
National Provider Identifier
1033963426
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4137 Issued in MN
Practice address
7301 Ohms LN Ste 450
Edina, MN 55439-2339
Phone
(952) 831-2000
NPI assigned
Apr 12, 2024
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305543 MN
Professional Counselor 101YP2500X 4137 MN Primary

Addresses

Primary practice location

7301 Ohms LN Ste 450
Edina, MN 55439-2339

Mailing address

7301 Ohms LN Ste 450
Edina, MN 55439-2339
Phone (952) 831-2000

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
I20241008002523 MN Practitioner - Mental Health Counselor 2466983929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Cabot Psychological Services, PLLCGroup PAC ID 9739203167, 13 clinicians

Practice addresses (Care Compare)

7301 Ohms LN
Edina, MN 55439-2339
Phone (952) 831-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
305543MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cabot Psychological Services, PLLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

401 Groveland Ave
Minneapolis, MN 55403
Phone (612) 872-1161

7301 Ohms Ln
Ste 450
Minneapolis, MN 55439
Phone (952) 831-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1033963426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 OHMS LN STE 450",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392339",
            "telephone_number": "952-831-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 OHMS LN STE 450",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392339",
            "telephone_number": "952-831-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAWSON",
        "first_name": "KYLE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.