Kaleidoscope Counseling

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

3352 Issued in MN

Legal business name

KALEIDOSCOPE COUNSELING

Practice address

5871 Cedar Lake Rd S
Suite 210
Saint Louis Park, MN 55416-1472

Phone

(612) 220-1642

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Michelle Suarez

Title

Child Dev. Consultant and Lamft

Phone

(612) 220-1642

Specialties & licenses 1

Addresses

Tax ID family

Kaleidoscope Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kaleidoscope Counseling

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1972041937
  NPD tax ID

Locations

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1295260412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083508",
            "telephone_number": "612-220-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161472",
            "telephone_number": "612-220-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHILD DEV. CONSULTANT AND LAMFT",
        "authorized_official_telephone_number": "612-220-1642"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MN",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Helen Kaehn, LICSW
• David Kaehr, LGSW
• Katharine Kaftanski, M.S.W.
• Susan E Kahle, C.R.N.A.
• Renae Anita Kain, CNP
• Paul H Kalina, M.D.
• Piper Suzanne Kalos, PHD,, LP
• Diane R Kaltenberg-Ahlers, MD
• Tony Kanayinkal
• Melissa Kane

• Point of Service in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.