Individual provider Active NPI

Kaylee Alexis Sylla, LMFT

  • Marriage & Family Therapist
  • Sauk Rapids, MN
National Provider Identifier
1528745528
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4181 Issued in NU
Practice address
100 2ND Ave S Ste 103
Sauk Rapids, MN 56379-1477
Phone
(320) 298-1144
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4181 NU Primary

Addresses

Primary practice location

100 2ND Ave S Ste 103
Sauk Rapids, MN 56379-1477

Mailing address

100 2ND Ave S Ste 103
Sauk Rapids, MN 56379-1477
Phone (320) 298-1144

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athman Counseling Services LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

100 2nd Ave S
Ste 103
Sauk Rapids, MN 56379
Phone (320) 298-1144

Organizations & group practices 1

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1528745528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S STE 103",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791477",
            "telephone_number": "320-298-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S STE 103",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791477",
            "telephone_number": "320-298-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLLA",
        "first_name": "KAYLEE",
        "middle_name": "ALEXIS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": "4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.