Individual provider Active NPI

Kristina Kontras

  • Professional Counselor
  • Richfield, MN
National Provider Identifier
1972017598
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1670 Issued in MN
Practice address
6328 Penn Ave S
Richfield, MN 55423-1139
Phone
(612) 861-1688
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1670 MN Primary

Addresses

Primary practice location

6328 Penn Ave S
Richfield, MN 55423-1139

Mailing address

5117 Nokomis Ave
Minneapolis, MN 55417-1452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917002278 MN Practitioner - Mental Health Counselor 1153825757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Mary Mullenbach PHD LP Inc 18 clinicians

Practice addresses (Care Compare)

6550 York Ave S
Edina, MN 55435-2336
Phone (952) 426-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince Aug 5, 2025 Accepting new patients
Hennepin County CurrentSince Aug 5, 2025 Accepting new patients

Locations

2220 Plymouth Ave N
Minneapolis, MN 55411
Phone (612) 543-2500

1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1972017598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 NOKOMIS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 PENN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231139",
            "telephone_number": "612-861-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTRAS",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.