Individual provider Active NPI

Elizabeth Kittleson, LMFT

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1801266366
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3090 Issued in MN
Practice address
7300 147TH St W Ste 404
Apple Valley, MN 55124-7580
Phone
(651) 294-6112
Fax
(651) 294-6715
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3090 MN Primary

Addresses

Primary practice location

7300 147TH St W Ste 404
Apple Valley, MN 55124-7580

Mailing address

7300 147TH St W Ste 404
Apple Valley, MN 55124-7580
Phone (651) 294-6112

Other practice location 1

653 Grand Ave
Saint Paul, MN 55105-3401
Phone (651) 212-4920 ext. 11

Other practice location 2

830 Boone Ave N
Golden Valley, MN 55427-4568
Phone (763) 506-4578

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
I20240423002080 MN Practitioner - Marriage and Family Therapist 0648619643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carnelia Mental Health LLCGroup PAC ID 5890134803, 4 clinicians

Practice addresses (Care Compare)

7300 147TH St W
Suite 404
Apple Valley, MN 55124-7580
Phone (651) 294-6112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carnelia Mental Health LLC CurrentSince Nov 12, 2023 Accepting new patients
Sarah C. Chambers, P.a. Past Accepting new patients
Wild Tree Psychotherapy, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

7300 147th St W
Ste 404
Saint Paul, MN 55124
Phone (651) 294-6112

7300 147th St W
Ste 215
Saint Paul, MN 55124
Phone (651) 294-6112

Organizations & group practices 3

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1801266366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 404",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247580",
            "telephone_number": "651-294-6112",
            "fax_number": "651-294-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 404",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247580",
            "telephone_number": "651-294-6112",
            "fax_number": "651-294-6715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053401",
            "country_code": "US",
            "telephone_number": "651-212-4920 x11",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Boone Ave N",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274568",
            "country_code": "US",
            "telephone_number": "763-506-4578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTLESON",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.