Kirsten Adank, MA
Individual provider Active NPI Professional Counselor · Crystal, MN
NPI 1124785936 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1124785936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 5700 Bottineau Blvd Ste 210
Crystal, MN 55429-3184 - Phone
- (763) 330-2774
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723001067 | MN | Practitioner - Mental Health Counselor | 0749796001 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
5700 Bottineau Blvd Ste 210
Crystal, MN 55429-3184
Mailing address
15222 95TH Ave N
Maple Grove, MN 55369-4434
Phone (763) 486-2425
Other providers in Crystal, MN
- Abel Chiropractic Clinic
- Danel Abera
- Ability Care Partners Incorporated
- Fahimo Abubakar
- Vincent Osayanmon Adanene
- Kowsan A Aden
- Julitta Adu-Gyamfi
- Afro Home Health Care LLC
- Anisa Ahmed
- Siham Ahmed
All providers in Crystal, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.