Individual provider Active NPI

Keli Gwost, MS

  • Mental Health Counselor
  • Caledonia, MN
National Provider Identifier
1215418272
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
101 S Kingston St
Caledonia, MN 55921-1315
Phone
(320) 271-6671
NPI assigned
Aug 27, 2018
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC04255 MN
Mental Health Counselor 101YM0800X MN Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

101 S Kingston St
Caledonia, MN 55921-1315

Mailing address

2421 Imperial Dr
Saint Cloud, MN 56301-5061

Other practice location 1

1637 4th Ave N
Sauk Rapids, MN 56379-4596
Phone (320) 271-6671

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250214001592 MN Order and Referring Only - Mental Health Counselor 1254861651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CC04255MNMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1215418272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 IMPERIAL DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KINGSTON ST",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211315",
            "telephone_number": "320-271-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1637 4th Ave N",
            "address_purpose": "LOCATION",
            "city": "Sauk Rapids",
            "state": "MN",
            "postal_code": "563794596",
            "country_code": "US",
            "telephone_number": "320-271-6671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWOST",
        "first_name": "KELI",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC04255",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MN

Sources for this page

Verify at the official NPI Registry.