Organization Active NPI

Lori Kinstad Psychotherapy LLC

  • Community/Behavioral Health Agency
  • Edina, MN
National Provider Identifier
1326896010
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LORI KINSTAD PSYCHOTHERAPY LLC
Practice address
5275 Edina Industrial Blvd Ste 108
Edina, MN 55439-2916
Phone
(612) 655-5214
Fax
(612) 500-4847
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Lori Kinstad, MSW, LICSWNPI 1891017182
Title
Owner/Clinician
Phone
(612) 655-5214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5275 Edina Industrial Blvd Ste 108
Edina, MN 55439-2916

Mailing address

5275 Edina Industrial Blvd Ste 108
Edina, MN 55439-2916
Phone (612) 655-5214

Other names 1

  • Lori Kinstad Psychotherapy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5275 Edina Industrial Blvd
Ste 108
Edina, MN 55439
Phone (612) 474-4574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1326896010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 108",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392916",
            "telephone_number": "612-655-5214",
            "fax_number": "612-500-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 108",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392916",
            "telephone_number": "612-655-5214",
            "fax_number": "612-500-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI KINSTAD PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "KINSTAD",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "612-655-5214",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lori Kinstad Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.