Kayla Hommerding, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC03844 Issued in MN

Practice address

1564 County Road 134
Saint Cloud, MN 56303-0346

Phone

(320) 229-4950

NPI assigned

Apr 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1043269798
  Medicare reassignment NPD
• St. Cloud Hospital

  • Home Health Agency
  • Waite Park, MN
  • NPI 1952350605
  NPD

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1861244675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 COUNTY ROAD 134",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030346",
            "telephone_number": "320-761-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 COUNTY ROAD 134",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030346",
            "telephone_number": "320-229-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMMERDING",
        "first_name": "KAYLA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon M Holthusen, LADC
• Jan L. Holtz, PH.D., L.P.
• Mark Irvin Holub, MD
• Leah Holzem
• Emma Hommerding, RBT
• Kendra Hommerding
• Kristy Hommerding, M.A., L.P.C
• Steven N Honebrink, MD
• Gwen Ann Hood, MA, LICSW
• Lisa Marie Hood, RN

• Professional Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.