Active NPI
Eve Marie Kaldahl, LPC
- Professional Counselor
- North Branch, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01080
- Practice address
- 5833 Pecan St
North Branch, MN 55056-6689 - Phone
- (651) 277-4283
- Fax
- (651) 277-4284
- NPI assigned
- Jul 29, 2011
- Last updated
- Jul 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 01080 | MN | Primary |
Addresses
Primary practice location
5833 Pecan St
North Branch, MN 55056-6689
Mailing address
5833 Pecan St
P.O. Box 723
North Branch, MN 55056-6689
Phone (651) 277-4283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01080 | Other | MN | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2103 County Rd D E
Suite B
Maplewood, MN 55109-5358
Phone (651) 748-5019
4505 White Bear Pkwy
Suite 1500
White Bear Lake, MN 55110-3697
Phone (651) 493-8150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01080 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance for Healing PA | Current | Accepting new patients | |
| Family Innovations, Inc. | Professional | Current | Accepting new patients |
| West Central Counseling LLC | Past | Accepting new patients | |
| Five County Mental Health Center | Past | Accepting new patients | |
| Haven Center, Inc | Past | Accepting new patients |
Locations
121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096
1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535
2103 County Road D E
Ste B
Saint Paul, MN 55109
Phone (651) 748-5019
4505 White Bear Pkwy
Ste 1500
White Bear Lake, MN 55110
Phone (651) 443-0054
Organizations & group practices 5
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.
-
dba LifeStance Health
- Counseling Psychologist
- Anoka, MN
- NPI 1992862783
Professional
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Braham, MN
- NPI 1801015417
-
- Mental Health Counselor
- North Branch, MN
- NPI 1801051461
-
- Mental Health Counselor
- Alexandria, MN
- NPI 1649846650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1548548274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 PECAN ST",
"address_2": "P.O. BOX 723",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550566689",
"telephone_number": "651-277-4283",
"fax_number": "651-277-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5833 PECAN ST",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550566689",
"telephone_number": "651-277-4283",
"fax_number": "651-277-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALDAHL",
"first_name": "EVE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-29",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "01080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "01080",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Branch, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.