Active NPI
Julie Kieke, MA LMFT
- Marriage & Family Therapist
- Saint Cloud, MN
National Provider Identifier
1437193398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1309
- Practice address
- 600 25TH Ave S Ste 109
Saint Cloud, MN 56301 - Phone
- (320) 255-0343
- Fax
- (320) 654-0318
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1309 | MN | Primary |
Addresses
Primary practice location
600 25TH Ave S Ste 109
Saint Cloud, MN 56301
Mailing address
600 25TH Ave S Ste 109
Saint Cloud, MN 56301-4820
Phone (320) 255-0343
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335415600 | Medicaid | MN | |
| 922241042558 | Other | PREFERRED ONE | |
| HP48615 | Other | HEALTH PARTNERS | |
| 387L3KI | Other | BCBS | |
| 137137C851 | Other | UCARE |
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 |
|---|---|---|---|---|
| I20240918003205 | MN | Practitioner - Marriage and Family Therapist | 2567814791 | Practice locations: Saint Cloud, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
600 25TH Ave S
Suite 109
Saint Cloud, MN 56301-4820
Phone (320) 255-0343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1437193398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 25TH AVE S STE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014820",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 25TH AVE S STE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56301",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEKE",
"first_name": "JULIE",
"name_prefix": "Ms.",
"credential": "MA LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335415600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "922241042558",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP48615",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "387L3KI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "137137C851",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.