Individual provider Active NPI

Kayla Welz-Schulzetenberg, MA, LPCC

  • Mental Health Counselor
  • Sartell, MN
National Provider Identifier
1801353149
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01219 Issued in MN
Practice address
166 19TH St S Ste 201
Sartell, MN 56377-2155
Phone
(320) 656-7047
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X CC01219 MN Primary

Addresses

Primary practice location

166 19TH St S Ste 201
Sartell, MN 56377-2155

Mailing address

413 7TH Ave SE
Saint Joseph, MN 56374-9560
Phone (320) 249-0113

Other practice location 1

525 Main St W
Melrose, MN 56352-1043
Phone (320) 256-4231

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
I20231228001509 MN Practitioner - Mental Health Counselor 6002266343 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC01219MNMDMental Health Counselor
1219MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
K Welz LLC CurrentSince Sep 15, 2024 Accepting new patients
St. Cloud Hospital Current Accepting new patients
Centracare Health System - Melrose CurrentSince Jan 1, 2024 Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2024 Accepting new patients
Centracare Health System - Melrose CurrentSince Jan 1, 2024 Accepting new patients

Locations

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

166 19th St S
Ste 201
Sartell, MN 56377
Phone (320) 259-1405

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 5

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1801353149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 7TH AVE SE",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563749560",
            "telephone_number": "320-249-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 19TH ST S STE 201",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772155",
            "telephone_number": "320-656-7047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Main St W",
            "address_purpose": "LOCATION",
            "city": "Melrose",
            "state": "MN",
            "postal_code": "563521043",
            "country_code": "US",
            "telephone_number": "320-256-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELZ-SCHULZETENBERG",
        "first_name": "KAYLA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.