Individual provider Active NPI

Kelsi Homan, LPCC

  • Professional Counselor
  • Dilworth, MN
National Provider Identifier
1538668355
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3392 Issued in MN
Practice address
1675 Center Ave W Ste B
Dilworth, MN 56529-1346
Phone
(218) 620-5239
Fax
(218) 440-6944
NPI assigned
Feb 7, 2018
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 3392 MN Primary

Addresses

Primary practice location

1675 Center Ave W Ste B
Dilworth, MN 56529-1346

Mailing address

1675 Center Ave W
Dilworth, MN 56529-1346
Phone (218) 620-5239

Other names 1

  • Kelsi McClaflin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240229001133 MN Practitioner - Mental Health Counselor 4385089358 Reassigns benefits to 1 organization
I20260204003338 ND Practitioner - Mental Health Counselor 4385089358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2701 12TH Ave S
Fargo, ND 58103-8753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3392MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourished Mind Counseling PLLC Current Accepting new patients
Village Family Service Center Professional CurrentSince Jan 1, 2024 Accepting new patients
Village Family Service Center CurrentSince Jan 1, 2024 Accepting new patients
Anne Carlsen Center Behavior Technician PastSince Dec 20, 2022 Accepting new patients

Locations

4133 Iowa St
Alexandria, MN 56308
Phone (320) 762-8851

1675 Highway 10 W
Ste B
Dilworth, MN 56529
Phone (218) 236-1187

815 37th Ave S
Moorhead, MN 56560
Phone (701) 451-4811

2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865

16021 18th St SE
Hunter, ND 58048
Phone (701) 874-2322

20 1st St SW
Ste 250
Minot, ND 58701
Phone (701) 852-3328

Organizations & group practices 4

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1538668355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CENTER AVE W",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291346",
            "telephone_number": "218-620-5239",
            "fax_number": "218-440-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CENTER AVE W STE B",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291346",
            "telephone_number": "218-620-5239",
            "fax_number": "218-440-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "KELSI",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "MCCLAFLIN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dilworth, MN

Sources for this page

Verify at the official NPI Registry.