Kristin Ann Palesch, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

680 Game Farm Rd N
Minnetrista, MN 55359-9493

Phone

(952) 240-1621

NPI assigned

Feb 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Kippie Ann Palesch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265705271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 GAME FARM RD N",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553599493",
            "telephone_number": "952-240-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 GAME FARM RD N",
            "city": "MINNETRISTA",
            "state": "MN",
            "postal_code": "553599493",
            "telephone_number": "952-240-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALESCH",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIPPIE",
            "last_name": "PALESCH",
            "middle_name": "ANN",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kindercare Pca Services LLC
• Matt Kowal
• Elizabeth Victoria Lewis, NURSE PRACTITIONER
• Janel R Miller, MOT OTRL
• Amanda S Myers, MS, CCC-SLP
• Anne Pierce, RN, CNP
• Melissa Anderson Polusny, PHD
• Saba Ghazimoghadam, PH.D., LP, LLC
• Thriver Health
• We Care Transportation Inc

• All providers in Minnetrista, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.