Individual provider Active NPI

Kristen Math X, MA, LPCC

  • Counseling Psychologist
  • Saint Cloud, MN
National Provider Identifier
1841811296
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
CC02229 Issued in MN
Practice address
600 25TH Ave S Ste 104
Saint Cloud, MN 56301-4820
Phone
(320) 217-2584
NPI assigned
Apr 27, 2020
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2229 MN
Counseling Psychologist 103TC1900X CC02229 MN Primary

Addresses

Primary practice location

600 25TH Ave S Ste 104
Saint Cloud, MN 56301-4820

Mailing address

1603 Pebble Creek Dr
Sartell, MN 56377-4538
Phone (320) 492-4582

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.doxy.me Other
Other URL www.therapydynamics.theraplatform.com

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
I20260305000953 MN Practitioner - Mental Health Counselor 8729560065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 25TH Ave S
Suite 104
Saint Cloud, MN 56301-4820

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC02229MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Dynamics PLLC Mental Health CurrentSince Jan 22, 2026 Accepting new patients

Locations

600 25th Ave S
Ste 104
Saint Cloud, MN 56301
Phone (320) 492-4582

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1841811296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 PEBBLE CREEK DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774538",
            "telephone_number": "320-492-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S STE 104",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014820",
            "telephone_number": "320-217-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATH",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "name_suffix": "X",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2229",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "CC02229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.doxy.me",
            "affiliation": "N",
            "endpointDescription": "Secure web-based teletherapy platform",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Telehealth visits and billing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA compliant, secure teletherapy",
            "address_1": "1603 Pebble Creek Dr",
            "city": "Sartell",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563774538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapydynamics.theraplatform.com",
            "affiliation": "N",
            "address_1": "600 25th Ave S Ste 104",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563014820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.