Organization Active NPI

KML Counseling LLC

Doing business as KML Counseling

  • Adult Mental Health Clinic/Center
  • Golden Valley, MN
National Provider Identifier
1376154633
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KML COUNSELING LLC
Doing business as
KML Counseling
Practice address
1405 Lilac Dr N Ste 113F
Golden Valley, MN 55422-4528
Phone
(920) 737-7961
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Katie Marie Marsh, MA, LPCCNPI 1780028241
Title
Owner
Phone
(920) 737-7961

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 113F
Golden Valley, MN 55422-4528

Mailing address

6739 Golden Valley Rd
Golden Valley, MN 55427-4618
Phone (920) 737-7961

Other names 1

  • KML Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Lilac Dr N
Ste 113F
Golden Valley, MN 55422
Phone (920) 737-7961

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": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1376154633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274618",
            "telephone_number": "920-737-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 113F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224528",
            "telephone_number": "920-737-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KML COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-737-7961",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KML Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KML Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.