Individual provider Active NPI

Molly Kehr

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1336452283
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1964 Issued in MN
Practice address
14300 Nicollet CT
Suite 130
Burnsville, MN 55306-4501
Phone
(952) 435-8814
Fax
(952) 435-7705
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1964 MN Primary

Addresses

Primary practice location

14300 Nicollet CT
Suite 130
Burnsville, MN 55306-4501

Mailing address

14300 Nicollet CT
Suite 130
Burnsville, MN 55306-4501
Phone (952) 435-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000925 MN Practitioner - Marriage and Family Therapist 3870942485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1964MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Personal & Family Development PA CurrentSince Jan 1, 2024 Accepting new patients
Pathway Virtu-Health Past Accepting new patients

Locations

14300 Nicollet Ct
Ste 130
Burnsville, MN 55306
Phone (952) 393-1772

2550 University Ave W
Ste 435S
Saint Paul, MN 55114
Phone (651) 286-8527

2550 University Ave W
Saint Paul, MN 55114
Phone (651) 645-3115

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1336452283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT",
            "address_2": "SUITE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064501",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT",
            "address_2": "SUITE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064501",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHR",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.