Kelly Ciapetta, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC01696 Issued in MN

Practice address

4756 Banning Ave Ste 215
White Bear Lake, MN 55110-3206

Phone

(330) 495-2736

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wild Tree Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1528451408

  Multi-Specialty

  Medicare reassignment NPD
• Arcadia Counseling LLC

  • Mental Health Counselor
  • White Bear Lake, MN
  • NPI 1477352730
  NPD Authorized official
• Sarah C. Chambers, P.a.

  dba Crocus Hill Health Center

  • Health Service Clinic/Center
  • Saint Paul, MN
  • NPI 1942358379

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1417424185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 BANNING AVE STE 215",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103206",
            "telephone_number": "330-495-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 BANNING AVE STE 215",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103206",
            "telephone_number": "330-495-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAPETTA",
        "first_name": "KELLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "001696",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Human Development of White Bear Lake, Inc.
• Century College Dental Hygiene Program
• Cerenity Care Center-White Bear Lake
• Chanel Thiry Counseling PLLC
• Linda Cherek, LICSW
• Nicole Teresa Ciavarella
• City of White Bear Lake MN (White Bear Lake Area Community Counseling Center)
• City White Bear Lake
• Clarke a. McKinney (Freedom Cars)
• Clear Way Counseling, LLC

• Mental Health Counselor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.

Verify at the official NPI Registry.