Ker Xiong, MSW,LGSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6741 Shingle Creek Dr
Brooklyn Park, MN 55445-2645

Phone

(612) 360-5547

NPI assigned

Jan 3, 2020

Sex

Male

Sole proprietor

Yes

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

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

Clinical Social Worker

Education

University of Minnesota Medical School, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Well-Being Mental Health and Consulting Services LLCGroup PAC ID 1355851387, 2 clinicians

Life Medical PAGroup PAC ID 6204938350, 8 clinicians

Minnesota Medical and Rehabilitative Services LLCGroup PAC ID 6406764703, 8 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 and National Provider Directory roles.

• Well-Being Mental Health and Consulting Services, LLC

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1326844960

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Minnesota Medical and Rehabilitative Services, LLC

  dba Minnesota Medical and Rehabilitation

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1154302545

  Multi-Specialty

  Medicare reassignment Care Compare group NPD (past)
• Life Medical, P.a.

  dba Life Medical

  • Multi-Specialty Clinic/Center
  • St Louis Park, MN
  • NPI 1740222496
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1548809890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SHINGLE CREEK DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452645",
            "telephone_number": "612-360-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 SHINGLE CREEK DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452645",
            "telephone_number": "612-360-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "KER",
        "credential": "MSW,LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wulff Chiropractic Inc. (Brooklyn Park Chiropractic)
• Joel B Wulff, D.C.
• Ingrid Ruth Wyckoff, APRN
• Charity Chue Xiong
• Joua Xiong, QP/SP
• Kou Tou Xiong
• Touney T Xiong
• Vicki Xiong, RN
• Ying Xiong
• Marta B Yakovleva, RN,

• Mental Health Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 Jan 3, 2020; 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.