Kelly Jean Benolkin Athman, GENETIC COUNSELOR

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1900 Centracare Circle #2300
Centracare Clinic - Women's & Childrens
St Cloud, MN 56303-5000

Phone

(320) 654-3655

NPI assigned

Sep 2, 2009

Last updated

Dec 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1356574610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE STREET SE",
            "address_2": "MMC 485",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-273-0688",
            "fax_number": "612-273-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE #2300",
            "address_2": "CENTRACARE CLINIC - WOMEN'S & CHILDRENS",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-654-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHMAN",
        "first_name": "KELLY",
        "middle_name": "JEAN BENOLKIN",
        "name_prefix": "Mrs.",
        "credential": "GENETIC COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Randall Asseln
• Tara Lee Asseln, MSW, LICSW
• Susan D Atamian, MD
• Athlos Academy of St. Cloud
• Anika L Athman, LPCC
• Lynn Athman, OTR
• Rachel Atkinson
• Wendy A Atkinson, MS LP
• Attacure, LLC (Creative Connections Counseling)
• Alyssa Augst, PHARMD

• Genetic Counselor (M.S.) in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Genetic Counselor (M.S.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.