Kelly Ann Villa

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303304 Issued in MN

Practice address

114 Minnesota St. Sandstone, MN 55072
Sandstone, MN 55072-5028

Phone

(218) 380-2551

Fax

(218) 520-3913

NPI assigned

Jan 22, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Roots Supportive Services LLC

  dba Recovery Roots

  • Addiction (Substance Use Disorder) Counselor
  • Sandstone, MN
  • NPI 1720761927
  NPD (past)

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1174472328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HIGHWAY 23 N",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725028",
            "telephone_number": "218-481-5546",
            "fax_number": "218-520-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MINNESOTA ST. SANDSTONE, MN 55072",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725028",
            "telephone_number": "218-380-2551",
            "fax_number": "218-520-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick M. Taurinskas, M.D.
• Rebecca Thomas, LPN
• Zondra Thompson, COTA
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #772)
• Urology Associates, LTD.
• Vision Pro Optical
• Heidi Jolene Voss
• Krystal Vradenburgh
• Kevin Wahlberg
• Jacqueline R Warman, LADC

• Addiction (Substance Use Disorder) Counselor in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.