Colette Clarice Kuznia, MED MASTERS DEGREE I

Primary specialty

CounselorTaxonomy code 101Y00000X

License

00117 Issued in MN

Practice address

403 Center Ave
Suite 405
Moorhead, MN 56560

Phone

(218) 233-9426

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1174707566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CENTER AVE",
            "address_2": "SUITE 405 COLETTE C KUZNIA",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CENTER AVE",
            "address_2": "SUITE 405",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNIA",
        "first_name": "COLETTE",
        "middle_name": "CLARICE",
        "name_prefix": "Ms.",
        "credential": "MED MASTERS DEGREE I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "00117",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "25811117",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "30474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Kugler
• Ashley Kulland
• Melissa Ann Kunkel, M.D.
• Dawn M. Kuntz, LICSW
• Alisha Renee Kurkowski
• Tanner Kuznia, DC
• Kelsey K Labodi, ATC
• Miranda Irene Lacanne
• Leane Marie Lafrance, LADC, ADCR-MN
• Lake Side Living

• Counselor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.