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KYLIE RENEE ANNE MATHIEU LADC
NPI 1023868213
Counselor - Addiction (Substance Use Disorder) in Fridley, MN

Active since March 22, 2024
520 OSBORNE RD NE, FRIDLEY, MN 55432(763) 236-4105 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylie Renee Anne Mathieu Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE RENEE ANNE MATHIEU LADC (NPI 1023868213) is an individual addiction (substance use disorder) provider in Fridley, Minnesota, licensed in Minnesota (305548) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1023868213
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKYLIE RENEE ANNE MATHIEUCredential: LADC
Location Address520 OSBORNE RD NEFridley, MN 55432-2718
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(763) 236-4105
Sole ProprietorNo
Enumeration DateMarch 22, 2024
Last NPPES UpdateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1023868213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305548
520 OSBORNE RD NE, Fridley, MN 55432
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHONDA HALBACH
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4328
MEGAN HICKENBOTTOM LICSW
Social Worker (Clinical)
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-7958
CARLI CARRIMON LADC
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4597
WHITNEY SAVAGE
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3800
MRS. COLLEEN BARBARA BURKE LADC
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4397
JEFF A WIENS HEINSOHN
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4510
CLARICE BAILEY MA, LADC, LPCC
Counselor (Mental Health)
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4528
PHS INTERLUDE FRIDLEY LLC
Skilled Nursing Facility
520 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 230-3131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylie Mathieu's NPI number?

The NPI number for Kylie Mathieu is 1023868213. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Kylie Mathieu located?

Kylie Mathieu practices at 520 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 236-4105.

What is Kylie Mathieu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kylie Mathieu was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.