Kelsi Addabbo
Individual provider Active NPI Marriage & Family Therapist · Faribault, MN
NPI 1326683061 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1326683061
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 410 Central Ave N
Faribault, MN 55021-5217 - Phone
- (507) 446-0431
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Fernbrook Family Center Inc
Practice addresses (Care Compare)
2575 Harvest LN
Owatonna, MN 55060-4305
Phone (507) 446-0431
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215003318 | MN | Practitioner - Marriage and Family Therapist | 0446694673 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernbrook Family Center, Inc | Current |
Accepting new patients | |
| Fernbrook Family Center, Inc | Past |
Accepting new patients | |
| Fernbrook Family Center | Past | Accepting new patients |
Locations
410 Central Ave N
Faribault, MN 55021
Phone (507) 331-3454
2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
410 Central Ave N
Faribault, MN 55021-5217
Mailing address
2575 Harvest LN
Owatonna, MN 55060-4305
Other providers in Faribault, MN
- Asho Muhumed Abokor
- Acupuncture Medical Center L.L.C.
- Suad Ahmed Adam
- Fatuma Adan
- Ilyas Adan
- Abdullahi Aden
- Fardosa Aden
- Ibrahim Aden
- Ruweyda Aden
- Yussuf Aden
All providers in Faribault, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.