Richard Leroy Kokkila, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31305 Issued in MN

Practice address

1208 Olena Avenue SE
Minnesota Specialty Health System
Willmar, MN 56201-9599

Phone

(320) 235-0900

Fax

(320) 214-3335

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Community Behavioral Health Hospital-Willmar

  • Psychiatric Hospital
  • Willmar, MN
  • NPI 1699931824
  NPD (past)
• Minnesota Speciality Health Systems Willmar

  • Mental Illness Community Based Residential Treatment Facility
  • Willmar, MN
  • NPI 1194014134
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1801874342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 OLENA AVENUE SE",
            "address_2": "WILLMAR REGIONAL TREATMENT CENTER",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019599",
            "telephone_number": "320-235-0900",
            "fax_number": "320-214-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 OLENA AVENUE SE",
            "address_2": "MINNESOTA SPECIALTY HEALTH SYSTEM",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019599",
            "telephone_number": "320-235-0900",
            "fax_number": "320-214-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKKILA",
        "first_name": "RICHARD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "31305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413287400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Knott, PCA
• Knuston Counseling and Seminars, Inc.
• Knutson Counseling & Seminars, Inc.
• Tamara L Kobienia, PHYSICAL THERAPIST
• Chelsie Jo Koch, LICSW
• Francis D Koss, M.D.
• Cassie Renee Kraft, LICSW
• Tabitha Kraft, LPCC
• Roger Kramer
• Allison Krause

• Psychiatry Physician in Willmar, MN
• Providers in Willmar, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.