Kelcee Kociemba, LMFT
Individual provider Active NPI Marriage & Family Therapist · Albany, MN
NPI 1992394555 · NPPES record last updated Jan 18, 2021
Key facts
- NPI
- 1992394555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 3732 (MN)
- Practice address
- 161 4TH St Ste B
Albany, MN 56307-8356 - Phone
- (320) 840-0020
- NPI assigned
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1360 Elm St E
Centracare Clinic St Joseph
St Joseph, MN 56374-4694
Phone (320) 363-7765
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104002526 | MN | Practitioner - Marriage and Family Therapist | 1456702356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3732 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquilla Counseling | Marriage & Family Therapist | Current | Accepting new patients |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| St. Cloud Hospital | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| St. Cloud Hospital | Current |
Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
715 1st St N
Cold Spring, MN 56320
Phone (320) 685-3693
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1360 Elm St E
Saint Joseph, MN 56374
Phone (320) 363-7765
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3732 | MN | Yes |
Addresses
Primary practice location
161 4TH St Ste B
Albany, MN 56307-8356
Mailing address
161 4TH St Ste B
Albany, MN 56307-8356
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kkociemba@gmail.com | Direct |
Other providers in Albany, MN
- William Ashley Green
- Emily Ann Guggenberger
- Katrina Elizabeth Johnson
- Tess Marie King
- Earl T Kinnear
- Harry J Larson
- Rhonda Leonard
- Jessica Michael Lindquist
- Brittany Ann Ludwig
- Olivia Katherine Lyon
All providers in Albany, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.