Kalpana V Sanmugam, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

306360 Issued in MN

Practice address

3151 124TH Ave NE
Blaine, MN 55449-6080

Phone

(701) 936-0990

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1871148882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 124TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 124TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496080",
            "telephone_number": "701-936-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "509-342-2802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 216th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432089",
            "country_code": "US",
            "telephone_number": "425-678-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANMUGAM",
        "first_name": "KALPANA",
        "middle_name": "V",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61042060",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimo Salim
• Samantha Sorensen PSYD LP LLC
• Daniel Edward Sandell, ATC
• Kristi Anne Sandford, REGISTERED NURSE
• Kevin Paul Sandhu, MD
• Laurie Jean Sansom, LPC, LCPC, LPCC
• Gregory Lynn Santema, P.T.
• Sara Werner LLC
• Carol L Sarpal, MD
• Nicole Satzinger, PHARMD

• Addiction (Substance Use Disorder) Counselor in Blaine, MN
• Providers in Blaine, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.