Kya Rud, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3497 Issued in MN

Practice address

500 Marschall Rd Ste 100
Shakopee, MN 55379-2689

Phone

(952) 856-3932

Fax

(952) 448-6047

NPI assigned

Jun 11, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 27, 2024 through Feb 27, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Better Mental Health, PC

  • Mental Health Counselor
  • Princeton, MN
  • NPI 1053833517
  NPD (past)
• Northstar Regional

  • Clinical Medical Laboratory
  • Shakopee, MN
  • NPI 1508349234
  NPD (past)
• Northstar Regional

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chaska, MN
  • NPI 1659764587
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1073138491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARSCHALL RD STE 300",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792690",
            "telephone_number": "952-856-3932",
            "fax_number": "952-448-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARSCHALL RD STE 100",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792689",
            "telephone_number": "952-856-3932",
            "fax_number": "952-448-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUD",
        "first_name": "KYA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana-Kay Shantell Rose
• Amanda Kathryn Ross, PA-C
• Rebecca Rothwell
• James J Rowe, MD
• Michelle Marie Ruckmar, RD, LD
• Wendy Rudd, BSN, RN
• Briana Russell
• Irina Ryazanov
• Michelle Ryba, O.D.
• Clodette Sabiyumva

• Mental Health Counselor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.