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KELLY ANN STREET
NPI 1053034975
Counselor in Northfield, MN

Active since September 26, 2022
41 FAREWAY DR, NORTHFIELD, MN 55057(651) 278-1406 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ann Street NPPES

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

KELLY ANN STREET (NPI 1053034975) is an individual counselor in Northfield, Minnesota and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1053034975
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY ANN STREET
Location Address41 FAREWAY DRNorthfield, MN 55057-2643
Mailing Address41 Fareway DrNorthfield, MN 55057-2643 · (651) 278-1406
Phone(651) 278-1406
Sole ProprietorYes
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 24, 2022
✔ NPI 1053034975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
41 FAREWAY DR, Northfield, MN 55057
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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 Kelly Street's NPI number?

The NPI number for Kelly Street is 1053034975. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Kelly Street located?

Kelly Street practices at 41 Fareway Dr, Northfield, MN 55057. The listed phone number is (651) 278-1406.

What is Kelly Street's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Street was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.