Active NPI
Baily Kaas, LADC
- Addiction (Substance Use Disorder) Counselor
- Mankato, MN
National Provider Identifier
1306656848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 306165
- Practice address
- 1227 Caledonia St
Mankato, MN 56001-4329 - Phone
- (507) 388-8874
- Fax
- (507) 625-4807
- NPI assigned
- Jan 8, 2025
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 306165 | MN | Primary |
Addresses
Primary practice location
1227 Caledonia St
Mankato, MN 56001-4329
Mailing address
1227 Caledonia St
Mankato, MN 56001-4329
Phone (507) 388-8874
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
| License | State | Type | Specialty |
|---|---|---|---|
| 306165 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surdy Psychological Services LLC | Current | Accepting new patients |
Locations
1227 Caledonia St
Mankato, MN 56001
Phone (507) 388-8874
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1306656848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 CALEDONIA ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014329",
"telephone_number": "507-388-8874",
"fax_number": "507-625-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 CALEDONIA ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014329",
"telephone_number": "507-388-8874",
"fax_number": "507-625-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAAS",
"first_name": "BAILY",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "306165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.