Organization Active NPI

Kells Joyful Living Inc

  • Professional Counselor
  • Otsego, MN
National Provider Identifier
1073403580
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KELLS JOYFUL LIVING INC
Practice address
7115 Marlowe Ave NE
Otsego, MN 55330-7471
Phone
(612) 839-2828
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Jason Kell, LPCCNPI 1215262159
Title
Owner/Therapist
Phone
(612) 839-2828

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7115 Marlowe Ave NE
Otsego, MN 55330-7471

Mailing address

7115 Marlowe Ave NE
Otsego, MN 55330-7471
Phone (612) 839-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250804002124 MN Part B Supplier - Clinic/Group Practice 4284142928 Receives reassigned benefits from 1 practitioner
Practice locations: Otsego, MN

National Provider Directory

National Provider Directory

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": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1073403580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 MARLOWE AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307471",
            "telephone_number": "612-839-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 MARLOWE AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307471",
            "telephone_number": "612-839-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLS JOYFUL LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "KELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-839-2828",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.