Active NPI
Kelly Zwick
- Professional Counselor
- Monticello, MN
National Provider Identifier
1619601945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC03232
- Practice address
- 407 Washington St
Monticello, MN 55362-8815 - Phone
- (763) 271-5340
- NPI assigned
- Jul 12, 2022
- 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 | CC03232 | MN | Primary |
Addresses
Primary practice location
407 Washington St
Monticello, MN 55362-8815
Mailing address
12245 County Road 3
Clear Lake, MN 55319-4730
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kzwick@cmmhc.com | Central Minnesota Mental Health Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1619601945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12245 COUNTY ROAD 3",
"city": "CLEAR LAKE",
"state": "MN",
"postal_code": "553194730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 WASHINGTON ST",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628815",
"telephone_number": "763-271-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWICK",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC03232",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kzwick@cmmhc.com",
"affiliation": "Y",
"affiliationName": "Central Minnesota Mental Health Center",
"address_1": "407 Washington St",
"city": "Monticello",
"state": "MN",
"country_code": "US",
"postal_code": "553628815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Monticello, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.