Individual provider Active NPI

Kendra Kuhlmann

  • Clinical Social Worker
  • Richfield, MN
National Provider Identifier
1902403074
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17406 Issued in MN
Practice address
6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Phone
(612) 465-9740
NPI assigned
Oct 2, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17406 MN Primary

Addresses

Primary practice location

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380

Mailing address

8635 Maplebrook Pkwy N
Brooklyn Park, MN 55445-1929
Phone (612) 465-9740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kendra.kuhlmann@canopymhc.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
3C Hansons Single Specialty CurrentSince Jul 17, 2021 Accepting new patients

Locations

6625 Lyndale Ave S
Ste 440
Richfield, MN 55423
Phone (612) 460-5196

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1902403074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 MAPLEBROOK PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451929",
            "telephone_number": "612-465-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 440",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232380",
            "telephone_number": "612-465-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHLMANN",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kendra.kuhlmann@canopymhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6625 Lyndale Ave S Ste 440",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554232380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.