Active NPI
Kathleen Behrens, L.I.C.S.W., L.A.D.C.
- Addiction (Substance Use Disorder) Counselor
- Saint Paul, MN
National Provider Identifier
1982996625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 303069
- Practice address
- 287 6TH St E
#300
Saint Paul, MN 55101-1654 - Phone
- (651) 221-0334
- Fax
- (651) 221-4449
- NPI assigned
- May 13, 2011
- Last updated
- May 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303069 | MN | Primary |
| Clinical Social Worker | 1041C0700X | 1267 | MN |
Addresses
Primary practice location
287 6TH St E
#300
Saint Paul, MN 55101-1654
Mailing address
287 6TH St E
#300
Saint Paul, MN 55101-1654
Phone (651) 221-0334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303069 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 1267 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conceptual Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1801003090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1982996625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 6TH ST E",
"address_2": "#300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011654",
"telephone_number": "651-221-0334",
"fax_number": "651-221-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 6TH ST E",
"address_2": "#300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011654",
"telephone_number": "651-221-0334",
"fax_number": "651-221-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "KATHLEEN",
"credential": "L.I.C.S.W., L.A.D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303069",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "1267",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.