Individual provider Active NPI

Britni Kelley, MA

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1184046518
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3453 Issued in MN
Practice address
821 Raymond Ave Ste 325
Saint Paul, MN 55114
Phone
(612) 293-8052
Fax
(651) 925-0517
NPI assigned
Jan 21, 2014
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3453 MN Primary

Addresses

Primary practice location

821 Raymond Ave Ste 325
Saint Paul, MN 55114

Mailing address

821 Raymond Ave Ste 325
Saint Paul, MN 55114-5002
Phone (612) 293-8052

Other practice location 1

13603 80th Cir N
Maple Grove, MN 55369-8961
Phone (763) 274-3120

Other names 1

  • Britni Hubbard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3453MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Britni Kelley Counseling, PLLC Marriage & Family Therapist Current Accepting new patients
Family Support Services Inc. PastSince Jan 1, 2024 Accepting new patients

Locations

821 Raymond Ave
Ste 325
Saint Paul, MN 55114
Phone (612) 293-8052

Organizations & group practices 2

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1184046518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 325",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551145002",
            "telephone_number": "612-293-8052",
            "fax_number": "651-925-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 325",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "612-293-8052",
            "fax_number": "651-925-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13603 80th Cir N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553698961",
            "country_code": "US",
            "telephone_number": "763-274-3120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRITNI",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITNI",
            "last_name": "HUBBARD",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.