Active NPI
Kendall Chase Stow, LADC
- Addiction (Substance Use Disorder) Counselor
- Edina, MN
National Provider Identifier
1225920382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 307228
- Practice address
- 3601 Minnesota Dr Ste 575
Edina, MN 55435-5213 - Phone
- (612) 223-8898
- NPI assigned
- Jul 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 307228 | MN | Primary |
Addresses
Primary practice location
3601 Minnesota Dr Ste 575
Edina, MN 55435-5213
Mailing address
3601 Minnesota Dr Ste 575
Edina, MN 55435-5213
Phone (612) 223-8898
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307228 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1225920382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 MINNESOTA DR STE 575",
"city": "EDINA",
"state": "MN",
"postal_code": "554355213",
"telephone_number": "612-223-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 MINNESOTA DR STE 575",
"city": "EDINA",
"state": "MN",
"postal_code": "554355213",
"telephone_number": "612-223-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOW",
"first_name": "KENDALL",
"middle_name": "CHASE",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "307228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.