Kelley Anne Hallingstad, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301921 Issued in MN

Practice address

1715 Tower Dr W Ste 100
Stillwater, MN 55082-7609

Phone

(651) 390-5001

Fax

(651) 390-5002

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1528707528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827609",
            "telephone_number": "651-390-5001",
            "fax_number": "651-390-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827609",
            "telephone_number": "651-390-5001",
            "fax_number": "651-390-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLINGSTAD",
        "first_name": "KELLEY",
        "middle_name": "ANNE",
        "credential": "MA, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Wilson Hall, MD
• Frank Hall, LADC
• Lois Janine Hall, D.C.
• Marissa C Hall, PA-C
• Destiny Halleland
• Sara Halverson
• Leah Hamilton
• William F Hamilton
• Moyra Laurana Hand
• Hands at the Cross Care Home LLC

• 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 May 31, 2022; 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.