K.I.D.S.&Family Therapy,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5822 Issued in MN

Legal business name

K.I.D.S.&FAMILY THERAPY,LLC

Practice address

11157 Zealand Ave N
Champlin, MN 55316-3595

Phone

(763) 710-9949

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Deborah K Otto

Title

Administrator

Phone

(763) 323-8050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Jean Lofy, PHD

  • Clinical Psychologist
  • Champlin, MN
  • NPI 1619411865
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1922497965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11157 ZEALAND AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163595",
            "telephone_number": "763-710-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11157 ZEALAND AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163595",
            "telephone_number": "763-710-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.I.D.S.&FAMILY THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-323-8050"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Johnson
• Todd Johnston, LADC
• Katherine Jones, PHARMD, RPH
• Joy Care Homes LLC
• Karen M Junior, PMHNP
• Kristi Kadrmas
• Christy L Kane, LAMFT
• Kylyn Ann Kapitan
• Linda Karst, PT
• Kartumu B Keamu

• Clinical Social Worker in Champlin, MN
• Providers in Champlin, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.