Kesma Flame Lily LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KESMA FLAME LILY LLC

Practice address

7030 Brooklyn Blvd Ste 2047
Brooklyn Center, MN 55429-1370

Phone

(612) 408-7733

Fax

(763) 292-5653

NPI assigned

Jul 22, 2018

Organization subpart

No

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

Authorized official

Name

Petronellah Thoko Bensen, LPCCNPI 1538649595

Title

Ceo/Clinical Director

Phone

(612) 408-7733

Specialties & licenses 8

Addresses

Other identifiers 2

Locations

Practitioners 6

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

• Petronellah Thoko Bensen, LPCC

  • Professional Counselor
  • Brooklyn Center, MN
  • NPI 1538649595

  Mental Health

  NPD Authorized official
• Caroline Sibongile Anthony, MENTAL HEALTH PRACTI

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1083382998
  NPD
• Ayodele Regina Douglas, MENTAL HEALTH PRACTI

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1548890379
  NPD (past)
• Jadajea Hill

  • Case Manager/Care Coordinator
  • Minneapolis, MN
  • NPI 1124843610

  Multi-Specialty

  NPD (past)
• Bethany Grace Kepler, B.S.

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1598352932
  NPD (past)
• Domonic Vasquez, MHP

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1114503711
  NPD (past)

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1295212355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20705 OTERO AVE",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550339600",
            "telephone_number": "612-408-7733",
            "fax_number": "763-292-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 BROOKLYN BLVD STE 2047",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291370",
            "telephone_number": "612-408-7733",
            "fax_number": "763-292-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESMA FLAME LILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-22",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "BENSEN",
        "authorized_official_first_name": "PETRONELLAH",
        "authorized_official_middle_name": "THOKO",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-408-7733",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "0000000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6744924000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kelly
• Kayla Kendall
• William Kendall
• Kent J. Erickson, D.C., CHTD
• Ashpal S Kent, D.C.
• Judith Ann Kesty
• Allison Renae Key, MSM, PA-C
• Abrar Khan, M.D.
• Hannah Mae Kidder, LADC
• Kidney Specialists of Minnesota, PA

• Professional Counselor in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.