Active NPI
Jarred Kells, LADC, BS
- Addiction (Substance Use Disorder) Counselor
- Willmar, MN
National Provider Identifier
1831732726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 304678
- Practice address
- 1125SE 6TH Street
Willmar, MN 56201-5620 - Phone
- (320) 235-4613
- NPI assigned
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304678 | MN | Primary |
Addresses
Primary practice location
1125SE 6TH Street
Willmar, MN 56201-5620
Mailing address
1125SE 6TH Street
Willmar, MN 56201
Phone (320) 235-4613
Other practice location 1
1234 MN-7
Montevideo, MN 56265
Phone (320) 269-6581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Bellevue Hospital Medical College, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1125 6TH St SE
Willmar, MN 56201-4675
56 33Rd Ave S
Suite 109
Saint Cloud, MN 56301-3722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304678 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1831732726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125SE 6TH STREET",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-235-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125SE 6TH STREET",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562015620",
"telephone_number": "320-235-4613"
}
],
"practiceLocations": [
{
"address_1": "1234 MN-7",
"address_purpose": "LOCATION",
"city": "Montevideo",
"state": "MN",
"postal_code": "56265",
"country_code": "US",
"telephone_number": "320-269-6581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLS",
"first_name": "JARRED",
"credential": "LADC, BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-23",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "304678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.