Individual provider Active NPI

Kendra Jo Stalpes, LPCC, LSW

  • Mental Health Counselor
  • Monticello, MN
National Provider Identifier
1871068775
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1951 Issued in MN
Practice address
407 Washington St
Monticello, MN 55362
Phone
(320) 253-4700
Fax
(763) 295-5086
NPI assigned
Oct 6, 2018
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1951 MN Primary

Addresses

Primary practice location

407 Washington St
Monticello, MN 55362

Mailing address

407 Washington St
Monticello, MN 55362-8815
Phone (320) 253-4700

Other practice location 1

614 Iris Ln NE
Saint Joseph, MN 56374-4633
Phone (320) 250-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1951MNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1871068775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628815",
            "telephone_number": "320-253-4700",
            "fax_number": "763-295-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "320-253-4700",
            "fax_number": "763-295-5086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Iris Ln NE",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MN",
            "postal_code": "563744633",
            "country_code": "US",
            "telephone_number": "320-250-8656",
            "fax_number": "320-252-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALPES",
        "first_name": "KENDRA",
        "middle_name": "JO",
        "credential": "LPCC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.