Rebecca M Kastner, PHD, LP, ABPP

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

6064 Issued in MN

Practice address

1250 Wayzata Blvd E
Ste 1 PMB 5064
Wayzata, MN 55391

Phone

(612) 930-2838

NPI assigned

Apr 10, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1699560714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WAYZATA BLVD E",
            "address_2": "STE 1 PMB 5064",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WAYZATA BLVD E",
            "address_2": "STE 1 PMB 5064",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "612-930-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Freeman Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560823504",
            "country_code": "US",
            "telephone_number": "507-469-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASTNER",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "6064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Counseling, LLC
• JSN Psychotherapy LLC
• JSN Psychotherapy LLC
• Phillip J Kamps, D.C.
• Susan Margaret Kane, P.T.
• Meghan Gearity Kimmel
• Bria Kirkpatrick
• Annika Knutson
• Tyler Michael Knutson, DC, CSCS
• William Howard Koch II, P.T.

• Forensic Psychologist in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Forensic Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.