Individual provider Active NPI

Felicia Kellen, LMFT

  • Marriage & Family Therapist
  • Saint Peter, MN
National Provider Identifier
1568046704
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4132 Issued in MN
Practice address
1715 Sheppard Dr
Saint Peter, MN 56082-2539
Phone
(507) 484-2400
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 4132 MN Primary

Addresses

Primary practice location

1715 Sheppard Dr
Saint Peter, MN 56082-2539

Mailing address

1715 Sheppard Dr
Saint Peter, MN 56082-2539
Phone (507) 484-2400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002393 MN Practitioner - Marriage and Family Therapist 5698218840 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Leo a. Hoffmann Center, Inc. CurrentSince May 3, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Nov 1, 2025 Accepting new patients
Leo a. Hoffmann Center, Inc. PastSince May 3, 2024 Accepting new patients

Locations

510 Sibley St
Mankato, MN 56001
Phone (507) 484-2400

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

1407 S State St
New Ulm, MN 56073
Phone (507) 354-3181

1715 Sheppard Dr
Saint Peter, MN 56082
Phone (507) 484-2400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1568046704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 SHEPPARD DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822539",
            "telephone_number": "507-484-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SHEPPARD DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822539",
            "telephone_number": "507-484-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEN",
        "first_name": "FELICIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.