Kevin Hynes, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4554 Issued in MN

Practice address

12 Long Lake Rd Ste 16
Mahtomedi, MN 55115-1200

Phone

(872) 240-2427

NPI assigned

Mar 19, 2019

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1700345683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LONG LAKE RD STE 16",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151200",
            "telephone_number": "860-892-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LONG LAKE RD STE 16",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151200",
            "telephone_number": "872-240-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Town St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602323",
            "country_code": "US",
            "telephone_number": "860-892-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYNES",
        "first_name": "KEVIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4554",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001414",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002075A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Hagstrom, D.C.
• Katherine Hands
• Naomi Hemingway
• Steve Donald Herrick, LADC
• Naima Hussien
• Isd 832 - Mahtomedi School District
• Jessica Dresden PSYD LP LLC
• Virginia Rose Kampmeier, D.C.
• Perri Lynn Kauls, D.D.S.
• Kathleen Ann Keefe, PHYSICAL THERAPIST A

• Marriage & Family Therapist in Mahtomedi, MN
• Providers in Mahtomedi, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.