Kelsey Malinda Middleton, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3919 Issued in MN

Practice address

7251 Excelsior Rd
Baxter, MN 56425-8477

Phone

(218) 831-7337

NPI assigned

Nov 22, 2019

Last updated

Dec 19, 2023By the provider in NPPES

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes Country Counseling PLLCGroup PAC ID 7214257849, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakes Country Counseling PLLC

  • Community/Behavioral Health Agency
  • Baxter, MN
  • NPI 1023322351
  Medicare reassignment Care Compare group NPD
• Beacon Therapy Associates, PC

  • Marriage & Family Therapist
  • Champlin, MN
  • NPI 1407084031
  NPD (past)
• Refresh Midwest Operations, SC

  • Psychologist
  • Hudson, WI
  • NPI 1932625357
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1144866302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258477",
            "telephone_number": "218-831-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258477",
            "telephone_number": "218-831-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11141 Zealand Ave N",
            "address_purpose": "LOCATION",
            "city": "Champlin",
            "state": "MN",
            "postal_code": "553163595",
            "country_code": "US",
            "telephone_number": "763-951-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KELSEY",
        "middle_name": "MALINDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex McLean, DC
• Jessica Mello, DIRECTOR/OWNER
• Michael Menzie
• Alexa J Meyer, APRN,CNP
• Selena Marie Micallef
• Midwest Family Eye Center
• Midwest Family Eye Center PA
• Amanda June Inas Mikhaeil, PMHNP
• Reza Mathew Mikhaeil, LGSW
• Kayla Miller

• Marriage & Family Therapist in Baxter, MN
• Providers in Baxter, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.