Kairos Therapy Institute

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KAIROS THERAPY INSTITUTE

Practice address

8609 Lyndale Ave S Ste 110
Bloomington, MN 55420-2733

Phone

(612) 688-5968

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Ruth Grambush, MA, LAMFTNPI 1609299619

Title

Owner

Phone

(651) 357-5164

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Ruth B Grambush, LAMFT

  • Marriage & Family Therapist
  • Webster, MN
  • NPI 1609299619
  NPD Authorized official

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1356006290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BOULDER TRL",
            "city": "WEBSTER",
            "state": "MN",
            "postal_code": "550883310",
            "telephone_number": "651-395-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202733",
            "telephone_number": "612-688-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAMBUSH",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-357-5164",
        "authorized_official_credential": "MA, LAMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4095",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapyatkairos.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "8609 Lyndale Ave S Ste 110",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554202733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Naw-Amellia M Kacher
• Ulyana Kachmar, DO
• Sumaiyo Abdullahi Kadir
• Robert Kagigebi, MD
• Jennifer Lynn Kahmeyer
• Patti Jo Kaiser, RN, DNP, APRN, FNP-B
• Kevin Edward Kalb, D.C.
• Kris J Kalenda, DDS
• Dimitri A. Kamenshikov, M.D.
• Nancy J Kampa, MA, LP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.