Active NPI
Kamila Stafin, Ms, LMFT, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chisago City, MN
National Provider Identifier
1932874641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamila Malgorzata Robinson, MS, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Minneapolis, MN
- NPI 1144664707
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.