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ALYSHA KVAM
NPI 1033849591
Counselor - Mental Health in Maple Grove, MN

Active since June 15, 2022PECOS Enrolled
12918 63RD AVE N, MAPLE GROVE, MN 55369(763) 210-9966 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alysha Kvam NPPES

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

ALYSHA KVAM (NPI 1033849591) is an individual mental health provider in Maple Grove, Minnesota and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033849591
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYSHA KVAM
Location Address12918 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address7200 Willow DrCorcoran, MN 55340-9717
Phone(763) 210-9966
Sole ProprietorNo
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1033849591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12918 63RD AVE N, Maple Grove, MN 55369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysha Kvam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

MATTHEW THIEDE
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
BETHANY R DILLON MA, LPCC, CCTP
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 238-1855
KELLY SIMON
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (612) 554-3737
COLLABORATIVE COUNSELING LLC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
MISS NAOMI NICOLE DORIOTT LARSON M.A., LPC
Counselor (Professional)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
CHRISTINA BUSCKO LPCC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
MELISSA PAVLIK LMFT
Marriage & Family Therapist
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
CATHERINE NICOLE BREUER JOHNSON LPCC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966

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 Alysha Kvam's NPI number?

The NPI number for Alysha Kvam is 1033849591. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Alysha Kvam located?

Alysha Kvam practices at 12918 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 210-9966.

What is Alysha Kvam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alysha Kvam enrolled in Medicare?

Yes. Alysha Kvam is registered in the Medicare PECOS enrollment system.

What insurance does Alysha Kvam accept?

Health plans from HealthPartners list Alysha Kvam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alysha Kvam was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.