Bain Harrison Thomas Kail

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01984 Issued in MN

Practice address

200 4TH Ave W Ste 300
Shakopee, MN 55379-1220

Phone

(952) 496-8565

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Scott

  dba Scott County Mental Health Center

  • Psychologist
  • Shakopee, MN
  • NPI 1841299443
  Medicare reassignment NPD
• County of Scott

  • Public Health or Welfare Agency
  • Shakopee, MN
  • NPI 1821156183
  NPD
• County of Scott

  • Community/Behavioral Health Agency
  • Shakopee, MN
  • NPI 1710047535
  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1699245001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 4TH AVE W STE 300",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791220",
            "telephone_number": "952-496-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 4TH AVE W STE 300",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791220",
            "telephone_number": "952-496-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIL",
        "first_name": "BAIN",
        "middle_name": "HARRISON THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Micheal Jonson, MD
• Gabor R Joo, M.D.
• Neel Shailendra Joshi, M.D.
• Amanda Dawn Jurrens
• Cheryl Kack
• Debbie M Kalish, MOTR
• Karen Anne Kandik, MSW, LICSW
• Sarah Kane
• Marianne Ruth Kanning, MD
• Stephanie Jean Kaste, OTR/L

• Professional Counselor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.