Sonja Kirkbride, BS, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304121 Issued in MN

Practice address

6058 Highway 10 NW
Anoka, MN 55303-4530

Phone

(763) 421-5590

NPI assigned

Nov 5, 2018

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

Credentials

Bachelor of Science

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.

• River Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Maple Grove, MN
  • NPI 1457502577
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1184192551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "CEDAR",
            "state": "MN",
            "postal_code": "550110358",
            "telephone_number": "612-384-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 HIGHWAY 10 NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553034530",
            "telephone_number": "763-421-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKBRIDE",
        "first_name": "SONJA",
        "credential": "BS, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Killebrew
• Haleigh King
• Zoe King
• Alison Kingren
• Renee I Kinworthy, LMT
• Denise Marie Kirmis, L.P.C.C
• David Paul Klinkenberg, RPH
• Madeline Marie Knese
• Michael Francis Koch, M.D.
• Mary Ann Kolis, ANP

• Addiction (Substance Use Disorder) Counselor in Anoka, MN
• Providers in Anoka, 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 Oct 3, 2019; 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.