Organization Active NPI

KB Counseling Evaluation Mediation Services

  • Marriage & Family Therapist
  • Woodbury, MN
National Provider Identifier
1609113083
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2068 Issued in MN
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

Updated by the provider on Jan 6, 2013

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.