Individual provider Active NPI

Krista Marie Nelson, LICSW, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1760579734
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
887 Issued in MN
Practice address
348 Prior Ave N
206
Saint Paul, MN 55104-5187
Phone
(651) 646-1488
Fax
(651) 646-2285
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3599 MN
Marriage & Family Therapist 106H00000X 887 MN Primary

Addresses

Primary practice location

348 Prior Ave N
206
Saint Paul, MN 55104-5187

Mailing address

1520 Chelmsford St
Saint Paul, MN 55108-1409
Phone (651) 646-3548

Other identifiers 1

IdentifierTypeStateIssuer
431813700MedicaidMN

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
I20050412001144 MN Practitioner - Clinical Social Worker 8325085210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Circle Counseling PLLCGroup PAC ID 4183624505, 2 clinicians

Practice addresses (Care Compare)

2356 University Ave W
Suite 280
Saint Paul, MN 55114-1898
Phone (651) 646-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
887MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Circle Counseling PLLC Clinical CurrentSince Jul 1, 2006 Accepting new patients

Locations

348 Prior Ave N
Ste 206
Saint Paul, MN 55104
Phone (651) 646-1488

2356 University Ave W
Ste 280
Saint Paul, MN 55114
Phone (612) 207-8935

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760579734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CHELMSFORD ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081409",
            "telephone_number": "651-646-3548",
            "fax_number": "651-646-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 PRIOR AVE N",
            "address_2": "206",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045187",
            "telephone_number": "651-646-1488",
            "fax_number": "651-646-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "3599",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431813700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.