Kassandra Ralph, MA

Individual provider Active NPI Mental Health Counselor · Circle Pines, MN

NPI 1245161561 · NPPES record last updated May 26, 2026

Key facts

NPI
1245161561
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
15 W Golden Lake Rd
Circle Pines, MN 55014-1703
Phone
(651) 216-7847
NPI assigned
May 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

15 W Golden Lake Rd
Circle Pines, MN 55014-1703

Mailing address

15 W Golden Lake Rd
Circle Pines, MN 55014-1703
Phone (651) 216-7847

Other providers in Circle Pines, MN

All providers in Circle Pines, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.