Active NPI
Kazoua Vang
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1336795301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3321
- Practice address
- 2021 E Hennepin Ave Ste 475
Minneapolis, MN 55413-1870 - Phone
- (612) 259-7803
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3321 | MN | Primary |
Addresses
Primary practice location
2021 E Hennepin Ave Ste 475
Minneapolis, MN 55413-1870
Mailing address
2021 E Hennepin Ave Ste 475
Minneapolis, MN 55413-1870
Other practice location 1
9001 E Bloomington Fwy Ste 147
Bloomington, MN 55420-3450
Phone (612) 401-1228
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@aracounselingmn.org | ||
| Direct Messaging Address | kazoua@anokahealthcenter.com | Anoka Health Center LLC | |
| Direct Messaging Address | kvang@aracounselingmn.org | Crystal Wellness Center LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3321 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anoka Health Center LLC | Current | Accepting new patients | |
| Crystal Wellness Center LLC | Past | Accepting new patients |
Locations
2021 E Hennepin Ave
Ste 475
Minneapolis, MN 55413
Phone (612) 259-7803
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.
-
- Adult Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1053816389
-
- Adult Mental Health Clinic/Center
- Bloomington, MN
- NPI 1194359547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1336795301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 475",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 475",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131870",
"telephone_number": "612-259-7803"
}
],
"practiceLocations": [
{
"address_1": "9001 E Bloomington Fwy Ste 147",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554203450",
"country_code": "US",
"telephone_number": "612-401-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANG",
"first_name": "KAZOUA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3321",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@aracounselingmn.org",
"affiliation": "N",
"address_1": "93 Little Canada Rd W Ste 104",
"city": "Little Canada",
"state": "MN",
"country_code": "US",
"postal_code": "551172368",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kazoua@anokahealthcenter.com",
"affiliation": "Y",
"affiliationName": "Anoka Health Center LLC",
"address_1": "2021 E Hennepin Ave Ste 475",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554131870",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kvang@aracounselingmn.org",
"affiliation": "Y",
"affiliationName": "Crystal Wellness Center LLC",
"address_1": "9001 E Bloomington Fwy Ste 147",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554203450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.