Individual provider Active NPI

Kristin Marie Antil, MA, DMIN, LPCC

  • Mental Health Counselor
  • New Brighton, MN
National Provider Identifier
1306789276
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
02071 Issued in MN
Practice address
1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308
Phone
(320) 444-1774
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 02071 MN Primary

Addresses

Primary practice location

1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308

Mailing address

851 8TH Ave NW
New Brighton, MN 55112-2704

Other practice location 1

851 8th Ave NW
New Brighton, MN 55112-2704
Phone (320) 444-1774

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
02071MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1306789276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 8TH AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SILVER LAKE RD NW STE 2",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129308",
            "telephone_number": "320-444-1774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 8th Ave NW",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551122704",
            "country_code": "US",
            "telephone_number": "320-444-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIL",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "MA, DMIN, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.