Cheryl Kack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16742 Issued in MN

Practice address

8170 Old Carriage Court North
Suite 200
Shakopee, MN 55379-3169

Phone

(507) 530-3852

Fax

(952) 465-3901

NPI assigned

Feb 27, 2014

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stepping Stones Counseling LLCGroup PAC ID 0143505255, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stepping Stones Counseling LLC

  • Clinical Social Worker
  • Shakopee, MN
  • NPI 1508263039
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1184049173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ORCHARD ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560112182",
            "telephone_number": "507-530-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE COURT NORTH",
            "address_2": "SUITE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793169",
            "telephone_number": "507-530-3852",
            "fax_number": "952-465-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACK",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "16742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Sherman Johnson, MA, LP
• Gary Micheal Jonson, MD
• Gabor R Joo, M.D.
• Neel Shailendra Joshi, M.D.
• Amanda Dawn Jurrens
• Bain Harrison Thomas Kail
• Debbie M Kalish, MOTR
• Karen Anne Kandik, MSW, LICSW
• Sarah Kane
• Marianne Ruth Kanning, MD

• Mental Health Counselor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.