Kelsey Unger, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00773 Issued in MN

Practice address

35382 US Highway 2
Grand Rapids, MN 55744-4754

Phone

(218) 327-4886

Fax

(218) 327-4848

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartwood Center for Child and Family Therapy LLCGroup PAC ID 0143580357, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Heartwood Center for Child and Family Therapy, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hibbing, MN
  • NPI 1033622436
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1043625403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35382 US HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444754",
            "telephone_number": "218-327-4886",
            "fax_number": "218-327-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35382 US HIGHWAY 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444754",
            "telephone_number": "218-327-4886",
            "fax_number": "218-327-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "KELSEY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366504904",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295919033",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Toonstra, MS, LP
• Elly Trepman, MD
• Laurie Beth Troumbly, MS, LPCC
• Melanie Nicole Troumbly, APRN, CNP, PMHNP-BC
• Diane Elizabeth Tyler
• Philip Michael Valdez, LMFT
• Jean Vaneps, CNP
• Peter Vasconcellos, DO
• Renee Veit
• Lisa Mei Vekich, RN, IBCLC

• Professional Counselor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.

Verify at the official NPI Registry.