Kathleen Anderson Ms LMFT LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KATHLEEN ANDERSON MS LMFT LLC

Practice address

15088 22ND Ave NE # 101
Little Falls, MN 56345-4199

Phone

(320) 224-1853

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Kathleen Anderson, LMFTNPI 1750687406

Title

Owner

Phone

(320) 224-1853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mental Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Mary Anderson, M.S.

  • Marriage & Family Therapist
  • Little Falls, MN
  • NPI 1750687406
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1649844382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14949 SANDPIPER DR",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453394",
            "telephone_number": "320-224-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15088 22ND AVE NE # 101",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563454199",
            "telephone_number": "320-224-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN ANDERSON MS LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-224-1853",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750687406",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Ryan Johnson, D.O.
• Randi Johnson, DDS
• David Jorgensen, M.D.
• Jennifer Jane Jude, DDS
• Tina Kalis
• Julia Keehr-Oleson
• Mallory C. Kenna
• Jeanne Catherine Kenning Smith, LADC
• Thomas Edward Klecker, LICSW LP
• Rachel Mary Kleinschmidt, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.