Kristen Elizabeth Kampsula

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303302 Issued in MN

Practice address

15025 Glazier Avenue
Suite 240
Apple Valley, MN 55124

Phone

(612) 280-5372

Fax

(952) 432-1391

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1932535614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15025 GLAZIER AVENUE, STE 240",
            "address_2": "CREATE SOUTH",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "612-280-5372",
            "fax_number": "952-432-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15025 GLAZIER AVENUE",
            "address_2": "SUITE 240",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "612-280-5372",
            "fax_number": "952-432-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPSULA",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303302",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Jones
• Joseph H Martin OD, P.a. & Associates (Martin EyeCare)
• JS Enterprises Inc
• Lowell Randolph Julian, D.D.S.
• Julie Borgerding July
• Matthew L Kapsner
• David Joseph Karan, LPCC
• Jeremy Kauppi, PT
• Jacqueline Marie Kay, PT, DPT
• Nicolette Renee Keehr, DNP, AGNP-C

• Addiction (Substance Use Disorder) Counselor in Apple Valley, MN
• Providers in Apple Valley, 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 Sep 25, 2013; 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.