Kathy Clark Dansberry, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

300889 Issued in MN

Practice address

2738 Winnetka Ave N # 150M2
New Hope, MN 55427-2850

Phone

(763) 762-8728

Fax

(763) 762-8762

NPI assigned

Dec 28, 2018

Last updated

Mar 11, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Medical Services Montana Private LLC

  dba Community Medical Services-Minneapolis on Broadway

  • Methadone Clinic
  • Minneapolis, MN
  • NPI 1033804653

  Addiction (Substance Use Disorder)

  NPD (past)
• Community Medical Services Montana-Private, LLC

  dba Community Medical Services

  • Methadone Clinic
  • Roseville, MN
  • NPI 1053069005

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1194297390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 RHODE ISLAND AVE N APT 324",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284942",
            "telephone_number": "763-710-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N # 150M2",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-762-8728",
            "fax_number": "763-762-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSBERRY",
        "first_name": "KATHY",
        "middle_name": "CLARK",
        "name_prefix": "Mrs.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Crews
• Bruce Lawrence Cross, LMFT
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• Dandelion Spirit Psychotherapy, LLC (Dandelion Spirit)
• Adrianne Ellen Danielson, ED.S.
• Rebecca Dantzler
• Arianne Davis, AGNP-C
• Kassandra Deboer, LAMFT
• Sarah Reif Delgiudice, PT
• Delight Transportation LLC

• Addiction (Substance Use Disorder) Counselor in New Hope, MN
• Providers in New Hope, 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 Mar 11, 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.