Organization Active NPI

The Healing Nest, LLC

  • Mental Health Counselor
  • Waite Park, MN
National Provider Identifier
1053159277
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE HEALING NEST, LLC
Practice address
110 2ND St S Ste 227
Waite Park, MN 56387-1312
Phone
(320) 204-2980
NPI assigned
Jul 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Authorized official

Name
Kathryn Madden Kinzer, LPCCNPI 1295116044
Title
Therapist/Owner
Phone
(320) 204-2980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

110 2ND St S Ste 227
Waite Park, MN 56387-1312

Mailing address

11 Fairfield LN
Saint Cloud, MN 56303-0910
Phone (320) 282-1714

National Provider Directory

National Provider Directory

Locations

110 2nd St S
Ste 227
Waite Park, MN 56387
Phone (320) 204-2980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1053159277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIRFIELD LN",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030910",
            "telephone_number": "320-282-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S STE 227",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871312",
            "telephone_number": "320-204-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING NEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MADDEN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "320-204-2980",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.