Individual provider Active NPI

Carla Marie McKean, MA LMFT, LADC

  • Mental Health Counselor
  • Oakdale, MN
National Provider Identifier
1134422595
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6230 10TH St N Ste 220
Oakdale, MN 55128-6160
Phone
(651) 755-4276
Fax
(888) 972-5307
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Marriage & Family Therapist 106H00000X 2626 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 302991 MN

Addresses

Primary practice location

6230 10TH St N Ste 220
Oakdale, MN 55128-6160

Mailing address

PO Box 974
Lindstrom, MN 55045-0974
Phone (651) 755-4276

Other practice location 1

12814 Lake Blvd
Lindstrom, MN 55045-9345
Phone (651) 755-4276

Other practice location 2

11185 Lake Blvd
Chisago City, MN 55013-9817
Phone (651) 755-4276

Other identifiers 2

IdentifierTypeStateIssuer
1174955397MedicaidMN
1134422595MedicaidMN

Other names 1

  • Carla Marie Martinson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250213000122 MN Practitioner - Marriage and Family Therapist 0941730410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Kids and Adults PLLCGroup PAC ID 9032649504, 5 clinicians

Practice addresses (Care Compare)

12814 Lake Blvd
Lindstrom, MN 55045-9345
Phone (651) 755-4276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
302991MNMDAddiction (Substance Use Disorder) Counselor
2626MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Kids and Adults PLLC Addiction (Substance Use Disorder) CurrentSince Jan 3, 2025 Accepting new patients

Locations

11185 Lake Blvd
Chisago City, MN 55013
Phone (651) 755-4276

6230 10th St N
Ste 220
Oakdale, MN 55128
Phone (651) 739-2300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1134422595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550450974",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 10TH ST N STE 220",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286160",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12814 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Lindstrom",
            "state": "MN",
            "postal_code": "550459345",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11185 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Chisago City",
            "state": "MN",
            "postal_code": "550139817",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "credential": "MA LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2626",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174955397",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134422595",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "MARTINSON",
            "middle_name": "MARIE",
            "credential": "MA LMFT, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.