Active NPI
KB Counseling Evaluation Mediation Services
- Marriage & Family Therapist
- Woodbury, MN
National Provider Identifier
1609113083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2068
- Legal business name
- KB COUNSELING EVALUATION MEDIATION SERVICES
- Practice address
- 6043 Hudson Rd
Suite 140P
Woodbury, MN 55125-1018 - Phone
- (651) 303-0534
- Fax
- (651) 337-7133
- NPI assigned
- Jan 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristi Marie Kamish-Bushinski, LMFT
- Title
- Director
- Phone
- (651) 303-0534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2068 | MN | Primary |
Addresses
Primary practice location
6043 Hudson Rd
Suite 140P
Woodbury, MN 55125-1018
Mailing address
6043 Hudson Rd
Suite 140P
Woodbury, MN 55125-1018
Phone (651) 303-0534
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357430400000",
"number": "1609113083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 HUDSON RD",
"address_2": "SUITE 140P",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251018",
"telephone_number": "651-303-0534",
"fax_number": "651-337-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 HUDSON RD",
"address_2": "SUITE 140P",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251018",
"telephone_number": "651-303-0534",
"fax_number": "651-337-7133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KB COUNSELING EVALUATION MEDIATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-06",
"last_updated": "2013-01-06",
"status": "A",
"authorized_official_last_name": "KAMISH-BUSHINSKI",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "651-303-0534",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.