Carol Jean Kuisle, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

576 Issued in MN

Practice address

1301 Marshall St
Saint Peter, MN 56082-4500

Phone

(507) 934-2652

Fax

(507) 934-2654

NPI assigned

Jul 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Jean Hindt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sioux Trails Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Ulm, MN
  • NPI 1902909914
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1316388176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S STATE ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733715",
            "telephone_number": "507-354-3181",
            "fax_number": "507-354-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-934-2652",
            "fax_number": "507-934-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUISLE",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "HINDT",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tatiana Komleva, PSY.D., LP.
• Jenny A Kortuem, MS CCC-SLP
• John Howard Krohn
• Ashley Krug, ATC
• Shannon Marie Kuball, LMFT
• Amy A Kvidera, MD
• Michael Joseph Lange, M.S., L.P.
• Kevin James Langton, LADC
• Tara Lynn Lassen, APRN
• Zacharias D Laughlin, LPCC

• Clinical Social Worker in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.