NPIMap

Organization Active NPI

Counseling Kids and Adults PLLC

  • Mental Health Counselor
  • Oakdale, MN
National Provider Identifier
1174955397
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNSELING KIDS AND ADULTS PLLC
Practice address
6230 10TH St N Ste 220
Oakdale, MN 55128-6160
Phone
(651) 755-4276
Fax
(888) 972-5307
NPI assigned
Jul 30, 2013
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Carla McKean, M.A. LMFT, LADCNPI 1134422595
Title
Owner/Therapist
Phone
(651) 755-4276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 302991 MN
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2626 MN
EEG Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0500X

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213000079 MN Part B Supplier - Clinic/Group Practice 9032649504 Receives reassigned benefits from 6 practitioners
Practice locations: Lindstrom, MN; Oakdale, MN; Chisago City, MN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1174955397",
    "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": {
        "organization_name": "COUNSELING KIDS AND ADULTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MCKEAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "651-755-4276",
        "authorized_official_credential": "M.A. LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302991",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2626",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.