Carnelia Mental Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CARNELIA MENTAL HEALTH LLC

Practice address

7300 147TH St W Ste 404
Apple Valley, MN 55124-7580

Phone

(651) 294-6112

Fax

(651) 294-6715

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth KittlesonNPI 1801266366

Title

Owner

Phone

(651) 294-6112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

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

• Elizabeth Kittleson, LMFT

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1801266366
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Mann, LMFT

  • Marriage & Family Therapist
  • Owatonna, MN
  • NPI 1225774003
  Medicare reassignment Care Compare group NPD
• Knute Christian Sands

  • Professional Counselor
  • St Louis Park, MN
  • NPI 1609522655
  Medicare reassignment Care Compare group NPD
• Sarita M Tabor-Sour, LMFT

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1932769403
  Medicare reassignment Care Compare group NPD
• Keith Warren Munson

  • Marriage & Family Therapist
  • Eagan, MN
  • NPI 1306420310
  Medicare reassignment NPD
• Heather Amy Penm, LAMFT

  • Marriage & Family Therapist
  • Eagan, MN
  • NPI 1801599212
  Medicare reassignment NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1952182172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 404",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247580",
            "telephone_number": "651-294-6112",
            "fax_number": "651-294-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 404",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247580",
            "telephone_number": "651-294-6112",
            "fax_number": "651-294-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNELIA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "KITTLESON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-294-6112"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Campagna
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• Samantha Carry, APRN, FNP-C
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• Clinic/Center in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.