Active NPI
Karissa Joy Klaers
- Counselor
- Osseo, MN
National Provider Identifier
1245871235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 411 3Rd St SE
Osseo, MN 55369-1606 - Phone
- (763) 259-8086
- NPI assigned
- Oct 1, 2019
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
411 3Rd St SE
Osseo, MN 55369-1606
Mailing address
16023 62ND St NE
Otsego, MN 55330-6423
Phone (763) 259-8086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T650275605011 | Other | MN | DRIVER'S LICENSE |
Other names 1
- Karissa Joy Tawfeek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 18, 2025 through Mar 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4367 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karis Health, PLLC | Single Specialty | Current | Accepting new patients |
| Beacon Therapy Associates, PC | Single Specialty | Past | Accepting new patients |
Locations
411 3rd St SE
Osseo, MN 55369
Phone (763) 259-8086
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Champlin, MN
- NPI 1407084031
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1245871235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16023 62ND ST NE",
"city": "OTSEGO",
"state": "MN",
"postal_code": "553306423",
"telephone_number": "763-259-8086",
"fax_number": "763-259-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 3RD ST SE",
"city": "OSSEO",
"state": "MN",
"postal_code": "553691606",
"telephone_number": "763-259-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAERS",
"first_name": "KARISSA",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "T650275605011",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KARISSA",
"last_name": "TAWFEEK",
"middle_name": "JOY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Osseo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.