Kirk Fjellman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301765 Issued in MN

Practice address

1825 Curve Crest Blvd W Ste 103
Stillwater, MN 55082-6054

Phone

(612) 326-7600

Fax

(651) 351-0162

NPI assigned

Jan 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1396218103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123271",
            "telephone_number": "612-326-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CURVE CREST BLVD W STE 103",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826054",
            "telephone_number": "612-326-7600",
            "fax_number": "651-351-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELLMAN",
        "first_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871627232",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Marie Finch, PA-C
• Rachel Ann Findlay
• Amy Jo Finn, LMFT
• Jessica Fisher
• Lambers B Fisher Jr., MS, LMFT
• Paul Flanders, PHARMD
• Nancy A Flinn, OTR/L
• Philip V. Flodin
• Hedit Florido-Bergad, DNP
• Fluid Health and Fitness

• Addiction (Substance Use Disorder) Counselor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.