Individual provider Active NPI

Denise Marie Kirmis, L.P.C.C

  • Professional Counselor
  • Anoka, MN
National Provider Identifier
1467892489
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00421 Issued in MN
Practice address
3300 4TH Ave
Building #9
Anoka, MN 55303-1161
Phone
(763) 712-2705
Fax
(763) 712-2314
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00421 MN Primary

Addresses

Primary practice location

3300 4TH Ave
Building #9
Anoka, MN 55303-1161

Mailing address

3300 4TH Ave
Building #9
Anoka, MN 55303-1161
Phone (763) 712-2705

Other names 1

  • Denise Marie Steffen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC00421MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1467892489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 4TH AVE",
            "address_2": "BUILDING #9",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031161",
            "telephone_number": "763-712-2705",
            "fax_number": "763-712-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 4TH AVE",
            "address_2": "BUILDING #9",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031161",
            "telephone_number": "763-712-2705",
            "fax_number": "763-712-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRMIS",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "L.P.C.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "STEFFEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.