Individual provider Active NPI

Rebecca Kwiatkowski, MA, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1700567336
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC03882 Issued in MN
Practice address
1600 University Ave W Ste 12
Saint Paul, MN 55104-3952
Phone
(651) 379-5157
Fax
(651) 379-5159
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC03882 MN Primary

Addresses

Primary practice location

1600 University Ave W Ste 12
Saint Paul, MN 55104-3952

Mailing address

1600 University Ave W Ste 12
Saint Paul, MN 55104-3952
Phone (651) 379-5157

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240104001140 MN Practitioner - Mental Health Counselor 2860843836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Natalis Counseling and Psychology Solutions, P.a.Group PAC ID 5193756104, 26 clinicians

Practice addresses (Care Compare)

1600 University Ave W
Saint Paul, MN 55104-3898
Phone (651) 379-5157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC03882MNMDMental Health Counselor
3882MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natalis Counseling and Psychology Solutions, P.a. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1600 University Ave W
Saint Paul, MN 55104
Phone (651) 644-1813

1600 University Ave W
Ste 12
Saint Paul, MN 55104
Phone (651) 233-1330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1700567336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043952",
            "telephone_number": "651-379-5157",
            "fax_number": "651-379-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043952",
            "telephone_number": "651-379-5157",
            "fax_number": "651-379-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "REBECCA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.