Individual provider Active NPI

Laura Kempnich, MSW, LGSW

  • Mental Health Counselor
  • Park Rapids, MN
National Provider Identifier
1487142006
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
26986 Issued in MN
Practice address
515 Bridge St
Park Rapids, MN 56470-1210
Phone
(218) 366-9229
Fax
(218) 237-2520
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 26986 MN Primary

Addresses

Primary practice location

515 Bridge St
Park Rapids, MN 56470-1210

Mailing address

515 Bridge St
Park Rapids, MN 56470-1210
Phone (218) 366-9229

Other names 1

  • Laura Booth Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001868 MN Practitioner - Clinical Social Worker 7618368887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Country Associates, Inc.Group PAC ID 3779610472, 11 clinicians

Practice addresses (Care Compare)

515 Bridge St
Park Rapids, MN 56470-1210
Phone (218) 366-9229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Country Associates, Inc. CurrentSince Sep 9, 2021 Accepting new patients
Peterson Medical Clinics, LLC PastSince Sep 9, 2021 Accepting new patients

Locations

515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1487142006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BRIDGE ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701210",
            "telephone_number": "218-366-9229",
            "fax_number": "218-237-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BRIDGE ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701210",
            "telephone_number": "218-366-9229",
            "fax_number": "218-237-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPNICH",
        "first_name": "LAURA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "26986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BOOTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.