Organization Active NPI

Therapy Dynamics PLLC

  • Mental Health Counselor
  • Saint Cloud, MN
National Provider Identifier
1679208540
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPY DYNAMICS PLLC
Practice address
600 25TH Ave S Ste 104
Saint Cloud, MN 56301-4820
Phone
(320) 492-4582
Fax
(320) 406-9828
NPI assigned
Jul 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Mrs. Kristen Math, MA, LPCCNPI 1841811296
Title
President/Therapist
Phone
(320) 492-4582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 25TH Ave S Ste 104
Saint Cloud, MN 56301-4820

Mailing address

1603 Pebble Creek Dr
Sartell, MN 56377-4538
Phone (320) 492-4582

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://therapydynamics.theraplatform.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260305000798 MN Part B Supplier - Clinic/Group Practice 7810479151 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1679208540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 PEBBLE CREEK DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774538",
            "telephone_number": "320-492-4582",
            "fax_number": "320-406-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S STE 104",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014820",
            "telephone_number": "320-492-4582",
            "fax_number": "320-406-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY DYNAMICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "MATH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "320-492-4582",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://therapydynamics.theraplatform.com",
            "affiliation": "N",
            "endpointDescription": "telehealth platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1603 Pebble Creek Dr",
            "city": "Sartell",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563774538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.