Organization Active NPI

Kala Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Prior Lake, MN
National Provider Identifier
1255623773
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302795 Issued in MN
Legal business name
KALA COUNSELING SERVICES
Practice address
4769 Dakota St SE
Suite 2
Prior Lake, MN 55372-1797
Phone
(952) 447-4344
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Erinn Jagiela, LADC
Title
Authorized Official
Phone
(952) 447-4344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 302795 MN Primary

Addresses

Primary practice location

4769 Dakota St SE
Suite 2
Prior Lake, MN 55372-1797

Mailing address

4769 Dakota St SE
Suite 2
Prior Lake, MN 55372-1797
Phone (952) 447-4344

National Provider Directory

National Provider Directory

Locations

4769 Dakota St SE
Ste 2
Prior Lake, MN 55372
Phone (952) 447-4344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1255623773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4769 DAKOTA ST SE",
            "address_2": "SUITE 2",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721797",
            "telephone_number": "952-447-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 DAKOTA ST SE",
            "address_2": "SUITE 2",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721797",
            "telephone_number": "952-447-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "JAGIELA",
        "authorized_official_first_name": "ERINN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "952-447-4344",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.