Kelsey Ryder Kitzmann, M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2114 Issued in MN

Practice address

1130 1/2 7TH St NW Ste 208
Rochester, MN 55901-2995

Phone

(507) 200-0224

Fax

(888) 407-0728

NPI assigned

Jul 16, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• New Leaf Therapy PLLC

  • Marriage & Family Therapist
  • Rochester, MN
  • NPI 1043966625
  NPD Authorized official

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1861747883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 COUNTY ROAD 3 SW",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559206208",
            "telephone_number": "507-200-0224",
            "fax_number": "888-407-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 1/2 7TH ST NW STE 208",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012995",
            "telephone_number": "507-200-0224",
            "fax_number": "888-407-0728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Superior Drive NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "55901",
            "country_code": "US",
            "telephone_number": "507-288-8544 x216",
            "fax_number": "507-288-8545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZMANN",
        "first_name": "KELSEY",
        "middle_name": "RYDER",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold B Kitaoka, M.D.
• Mercy Nzilani Kitonyi
• Takahiro Kitsuka, MD
• Wonngarm Kittanamongkolchai, M.D.
• Jaya A. Kittur, MD
• Danya M. Kiydal, M.D.
• Satoshi Kiyofuji
• Sani Haider Kizilbash, M.B.B.S
• James Patrick Klaas, MD
• Kelsey McElveen Klaas, M.D.

• Marriage & Family Therapist in Rochester, MN
• Providers in Rochester, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.