Kelsey Anderson, MA, LADC, LPCC
Individual provider Active NPI Mental Health Counselor · Princeton, MN
NPI 1861664211 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1861664211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CC01560 (MN)
- Practice address
- 604 1St St
Princeton, MN 55371-1611 - Phone
- (763) 412-1700
- Fax
- (763) 324-8181
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302306 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| CC01560 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Mental Health, PC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
401 1st St
Ste B104
Princeton, MN 55371
604 1st St
Princeton, MN 55371
Phone (763) 412-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302306 | MN | |
| Mental Health Counselor | 101YM0800X | CC01560 | MN | Yes |
Addresses
Primary practice location
604 1St St
Princeton, MN 55371-1611
Mailing address
401 1St St Ste B104
Princeton, MN 55371-1678
Phone (612) 868-1696
Other providers in Princeton, MN
- Kathleen Desiree Abrahamson
- Aegis Group Practice LLC
- Marci Christine Alberding
- Marshall Albright
- Catherine Mary Alwin
- Anthony David Artisensi-Skime
- Jayme Baldwin
- Teresa Leigh Baldwin
- Dana Bartheld
- Alex M. Basara
All providers in Princeton, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.