Kris Koestner LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08765 Issued in MN

Legal business name

KRIS KOESTNER LLC

Practice address

6607 18TH Ave S
Richfield, MN 55423-2784

Phone

(612) 798-7373

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kris Koestner, LICSW

Title

Licensed Clinical Social Worker

Phone

(612) 798-7373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1992090260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-798-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-798-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS KOESTNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "KOESTNER",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "612-798-7373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "08765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "800002288",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuechi Jacob Kong, DC
• Kristina Kontras
• Mark W Koppenberg, R.N.
• Megan Korpela, PA
• Timothy J Krause, PHARM D
• Katie Ann Malone Kroulik, SLP
• KST LLC
• Thye M Kue
• Sara Kuehn
• Kendra Kuhlmann

• All providers in Richfield, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.