Individual provider Active NPI

Kathy Anne Gieselman, M.A.

  • Mental Health Counselor
  • St Louis Park, MN
National Provider Identifier
1730365800
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
330 Issued in MN
Practice address
5861 Cedar Lake Rd S
Saint Louis Park, MN 55416-1653
Phone
(952) 202-8703
Fax
(612) 241-1943
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 55690 CA
Marriage & Family Therapist 106H00000X 1900 MN
Mental Health Counselor 101YM0800X 330 MN Primary

Addresses

Primary practice location

5861 Cedar Lake Rd S
Saint Louis Park, MN 55416-1653

Mailing address

5861 Cedar Lake Rd S
Saint Louis Park, MN 55416-1653
Phone (122) 028-7036

Other practice location 1

4025 W Broadway Ave
Robbinsdale, MN 55422-2211
Phone (612) 202-8703

Other identifiers 1

IdentifierTypeStateIssuer
27382MedicaidMN

Other names 1

  • Kathie Gieselman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
330MNMDMental Health Counselor
55690CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Therapy and Counseling Associates, PLLC Marriage & Family Therapist Past Accepting new patients

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1730365800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161653",
            "telephone_number": "122-028-7036",
            "fax_number": "612-241-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161653",
            "telephone_number": "952-202-8703",
            "fax_number": "612-241-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222211",
            "country_code": "US",
            "telephone_number": "612-202-8703",
            "fax_number": "612-241-1943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIESELMAN",
        "first_name": "KATHY",
        "middle_name": "ANNE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "55690",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27382",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHIE",
            "last_name": "GIESELMAN",
            "credential": "LMFT, LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.