Embodied Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMBODIED COUNSELING

Practice address

1700 Technology Dr NE Ste 110
Willmar, MN 56201-2283

Phone

(320) 212-7419

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Kahle Randall, MA, LPCC, CIEC, CCTPNPI 1538852298

Title

Owner

Phone

(320) 212-7419

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kahle Randall

  • Mental Health Counselor
  • Lakeville, MN
  • NPI 1538852298
  NPD (past) Authorized official

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1831012962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TECHNOLOGY DR NE STE 110",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012283",
            "telephone_number": "320-212-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TECHNOLOGY DR NE STE 110",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012283",
            "telephone_number": "320-212-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "KAHLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-212-7419",
        "authorized_official_credential": "MA, LPCC, CIEC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rillo Ellingson, M.D.
• Mickala Elliot
• Lindsey Elliott
• Katlin Elmore, LPCC
• Shannon Elton, NURSE PRACTITIONER
• Mackenzie Engle
• Jeffery Ja Enstad, RN CNP
• Summer Erdmann, DPT
• Jamie Kalean Erickson, PHARMD
• Rose Erickson, RD

• Mental Health Counselor in Willmar, MN
• Providers in Willmar, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.