Organization Active NPI

Kamila Stafin, Ms, LMFT, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chisago City, MN
National Provider Identifier
1932874641
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KAMILA STAFIN, MS, LMFT, LLC
Practice address
29351 Main Street
Chisago City, MN 55013
Phone
(651) 424-0152
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Kamila Malgorzata Robinson, MS, LMFTNPI 1144664707
Title
Marriage and Family Therapist
Phone
(651) 424-0152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

29351 Main Street
Chisago City, MN 55013

Mailing address

27520 Mickelson LN
Chisago City, MN 55013-9735
Phone (651) 424-0152

Other names 1

  • Achelois Holistic Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.simplepractice.com/?utm_source=google&utm_medium=cpc&utm_campaign=rc-search-brand-exact& Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1932874641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27520 MICKELSON LN",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139735",
            "telephone_number": "651-424-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29351 MAIN STREET",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "55013",
            "telephone_number": "651-424-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMILA STAFIN, MS, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KAMILA",
        "authorized_official_middle_name": "MALGORZATA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "651-424-0152",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com/?utm_source=google&utm_medium=cpc&utm_campaign=rc-search-brand-exact&",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice EHR",
            "address_1": "261 5th St E Apt 605",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551012590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Achelois Holistic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chisago City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.