Individual provider Active NPI

Kimberly Hayes Maley, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Paul, MN
National Provider Identifier
1285903229
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
303232 Issued in MN
Practice address
400 Sibley St Ste 500
Saint Paul, MN 55101-1938
Phone
(651) 256-1265
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303232 MN Primary

Addresses

Primary practice location

400 Sibley St Ste 500
Saint Paul, MN 55101-1938

Mailing address

1909 Southcross Dr W Apt 1607
Burnsville, MN 55306-7955
Phone (612) 840-7289

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

State licenses

LicenseStateTypeSpecialty
303232MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Metro Human Services PastSince Jan 1, 2015 Accepting new patients
South Metro Human Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1285903229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 SOUTHCROSS DR W APT 1607",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067955",
            "telephone_number": "612-840-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SIBLEY ST STE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011938",
            "telephone_number": "651-256-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEY",
        "first_name": "KIMBERLY",
        "middle_name": "HAYES",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.