Individual provider Active NPI

Kelly Brinkman, LMFT

  • Marriage & Family Therapist
  • Baxter, MN
National Provider Identifier
1639565732
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3060 Issued in MN
Practice address
7251 Excelsior Rd
Baxter, MN 56425
Phone
(218) 454-0878
NPI assigned
Apr 15, 2015
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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 3060 MN Primary

Addresses

Primary practice location

7251 Excelsior Rd
Baxter, MN 56425

Mailing address

PO Box 2506
Baxter, MN 56425-2506
Phone (184) 540-8782

Other practice location 1

1906 5th Ave SE
Little Falls, MN 56345-3317
Phone (320) 632-6647

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
I20250402003051 MN Practitioner - Marriage and Family Therapist 1759804479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14391 Edgewood Dr
Suite 206
Baxter, MN 56425-8418
Phone (218) 317-8233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shine on Speech Therapy LLC CurrentSince Apr 24, 2025 Accepting new patients
Walk Beside You LLC Marriage & Family Therapist CurrentSince Jan 30, 2025 Accepting new patients
Lakes Country Counseling PLLC PastSince Aug 30, 2016 Accepting new patients
Sheila a Hoemberg LLC Past Accepting new patients

Locations

14391 Edgewood Dr
Ste 206
Baxter, MN 56425
Phone (218) 317-8233

7636 Design Rd
Ste 125A
Brainerd, MN 56425
Phone (218) 270-8337

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1639565732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2506",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252506",
            "telephone_number": "184-540-8782",
            "fax_number": "218-454-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-454-0878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 5th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "MN",
            "postal_code": "563453317",
            "country_code": "US",
            "telephone_number": "320-632-6647",
            "fax_number": "320-632-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "KELLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.