Kelsey Lauren Nauman, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03577 Issued in MN

Practice address

5155 E River Rd Ste 401
Fridley, MN 55421-3777

Phone

(763) 780-3307

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Psychological Services IncGroup PAC ID 3072948389, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lighthouse Psychological Services Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1548428170
  Medicare reassignment Care Compare group NPD
• Lighthouse Psychological Services, Inc.

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1972774834
  NPD

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1538872346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 LAKE ROAD AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221841",
            "telephone_number": "612-414-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 401",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-780-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMAN",
        "first_name": "KELSEY",
        "middle_name": "LAUREN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.reliatrax.com/",
            "affiliation": "N",
            "address_1": "5155 E River Rd Ste 401",
            "city": "Fridley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554213777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Betty Muthuri, NP
• Zawadi Marie Mwabury
• Myskye Care
• Abdishakur Hassan Nahar
• National Transit LLC
• Steve Brent Nauman, O.D.
• Danielle Elizabeth Nelson, PA-C
• Judith M. Nelson, RN, CNS
• Nicole E Nelson, PHARMD, BCPS
• Neopath

• Mental Health Counselor in Fridley, MN
• Providers in Fridley, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.