Kevin P Kirley, M.S.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LP1249 Issued in MN

Practice address

10535 165TH St W
Lakeville, MN 55044-5729

Phone

(952) 435-0022

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fairweather Investments, LLC

  • Mental Health Counselor
  • Lakeville, MN
  • NPI 1982238770
  NPD (past)
• Lakeville Behavioral Health, LLC

  • Cognitive & Behavioral Psychologist
  • Lakeville, MN
  • NPI 1750412680
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649338443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 165TH STREET W.",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-435-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445729",
            "telephone_number": "952-435-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRLEY",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10N14KI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "138154",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-UBH",
            "identifier": "62-50536",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "30433-01",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP50743",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Betty Kindem
• Brandon H King, OD
• Kingsway Chiropractic, PA
• Michael J Kinzer, L.M.F.T.
• Lisa Kippley, PA-C
• Jessica Kay Klein, RN
• Lori Anne Klein, LMFT
• Shannon Klocke, RPH
• KMJV Operation LLC
• Logan Marie Knip

• Cognitive & Behavioral Psychologist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Cognitive & Behavioral Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.