Active NPI
Kim Contardi Pareigat, MA LP
- Counseling Psychologist
- New Brighton, MN
National Provider Identifier
1255313839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP1110
- Practice address
- 1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789 - Phone
- (651) 628-9566
- Fax
- (651) 628-0411
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP1110 | MN | Primary |
Addresses
Primary practice location
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124530 | Other | UCARE | |
| 875750000 | Medicaid | MN | |
| 990991000193 | Other | PREFERRED ONE | |
| 187725 | Other | VALUE OPTIONS | |
| 6229339 | Other | MEDICAL SELECT CARE | |
| 9L834PA | Other | BCBS BLUE PLUS | |
| 191026 | Other | MAGO MANAGEMENT |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1110 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1255313839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW STE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121789",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW STE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121789",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREIGAT",
"first_name": "KIM",
"middle_name": "CONTARDI",
"credential": "MA LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP1110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "124530",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "875750000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "990991000193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "187725",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL SELECT CARE",
"identifier": "6229339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUE PLUS",
"identifier": "9L834PA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGO MANAGEMENT",
"identifier": "191026",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.