Individual provider Active NPI

Ashley Lynn Kalina, LMHC, LMFT, LPCC

  • Mental Health Counselor
  • Two Harbors, MN
National Provider Identifier
1174066658
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15590 Issued in FL
Practice address
120 7TH St Ste 101
Two Harbors, MN 55616-1563
Phone
(813) 445-6078
Fax
(813) 636-8855
NPI assigned
Dec 1, 2016
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 CC01793 MN
Mental Health Counselor 101YM0800X MH15590 FL Primary
Marriage & Family Therapist 106H00000X MT3409 FL

Addresses

Primary practice location

120 7TH St Ste 101
Two Harbors, MN 55616-1563

Mailing address

P.O. Box 143
Knife River, MN 55609-4400
Phone (651) 341-0581

Other identifiers 1

IdentifierTypeStateIssuer
022454300MedicaidFL

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
I20240213003658 MN Practitioner - Mental Health Counselor 0648684449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH15590FLMDMental Health Counselor
CC01793MNMDMental Health Counselor
MT3409FLMDMarriage & Family Therapist
3921MNMDOptometrist
1793MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalina Counseling Services, LLC. CurrentSince Nov 30, 2020 Accepting new patients

Locations

120 7th St
Two Harbors, MN 55616
Phone (218) 595-7997

120 7th St
Ste 101
Two Harbors, MN 55616
Phone (218) 595-7997

120 7th St
Unit 101
Two Harbors, MN 55616
Phone (218) 595-7997

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1174066658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 143",
            "city": "KNIFE RIVER",
            "state": "MN",
            "postal_code": "556094400",
            "telephone_number": "651-341-0581",
            "fax_number": "813-636-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 7TH ST STE 101",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161563",
            "telephone_number": "813-445-6078",
            "fax_number": "813-636-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINA",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMHC, LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01793",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15590",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022454300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Two Harbors, MN

Sources for this page

Verify at the official NPI Registry.