Active NPI
Kaylyn Ahrendt, LICSW
- Clinical Social Worker
- Alexandria, MN
National Provider Identifier
1386200434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22802
- Practice address
- 305 30TH Ave W
Alexandria, MN 56308-3429 - Phone
- (320) 460-8028
- NPI assigned
- May 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22802 | MN | Primary |
Addresses
Primary practice location
305 30TH Ave W
Alexandria, MN 56308-3429
Mailing address
PO Box 54
Eagle Bend, MN 56446-0054
Phone (320) 219-1689
Other practice location 1
132 Main Street East
Eagle Bend, MN 56446
Phone (320) 219-1689
Other practice location 2
20574 US 71
Long Prairie, MN 56347-5063
Phone (320) 219-1689
Other practice location 3
219 Central Avenue
Osakis, MN 56360-5636
Phone (320) 219-1689
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaylyn.ahrendt@dklmft.com | Direct | |
| Direct Messaging Address | kaylyn.ahrendt@dklmft.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210902002761 | MN | Practitioner - Clinical Social Worker | 3375949126 | Practice locations: Eagle Bend, MN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22802 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danielle Kreemer, LMFT, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Long Prairie, MN
- NPI 1184260895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1386200434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54",
"city": "EAGLE BEND",
"state": "MN",
"postal_code": "564460054",
"telephone_number": "320-219-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 30TH AVE W",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083429",
"telephone_number": "320-460-8028"
}
],
"practiceLocations": [
{
"address_1": "132 Main Street East",
"address_purpose": "LOCATION",
"city": "Eagle Bend",
"state": "MN",
"postal_code": "56446",
"country_code": "US",
"telephone_number": "320-219-1689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20574 US 71",
"address_purpose": "LOCATION",
"city": "Long Prairie",
"state": "MN",
"postal_code": "563475063",
"country_code": "US",
"telephone_number": "320-219-1689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "219 Central Avenue",
"address_purpose": "LOCATION",
"city": "Osakis",
"state": "MN",
"postal_code": "563605636",
"country_code": "US",
"telephone_number": "320-219-1689",
"fax_number": "320-262-8198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHRENDT",
"first_name": "KAYLYN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2023-05-04",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "22802",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kaylyn.ahrendt@dklmft.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20574 US 71",
"city": "Long Prairie",
"state": "MN",
"country_code": "US",
"postal_code": "563475063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kaylyn.ahrendt@dklmft.com",
"affiliation": "N",
"endpointDescription": "Encrypted email protected by ZIX",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "219 Central Avenue",
"city": "Osakis",
"state": "MN",
"country_code": "US",
"postal_code": "56360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.