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MR. KEITH LESLIE DERAAD CPRP
NPI 1063532216
Counselor - Mental Health in Minneapolis, MN

Active since March 30, 2007
1825 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 752-8246(612) 752-8203 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Keith Leslie Deraad Cprp NPPES

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

MR. KEITH LESLIE DERAAD CPRP (NPI 1063532216) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063532216
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEITH LESLIE DERAADCredential: CPRP
Location Address1825 CHICAGO AVEMinneapolis, MN 55404-1939
Mailing Address3700 W 83rd StBloomington, MN 55431-1063 · (952) 842-8273
Phone(612) 752-8246
Fax(612) 752-8203
Sole ProprietorYes
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063532216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1825 CHICAGO AVE, Minneapolis, MN 55404
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Other Providers at the Same Location NPPES 13

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

RESOURCE, INC.
Case Management
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8200
CHARLIE LENTZ MS
Counselor
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8206
RESOURCE, INC.
Case Management
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8200
RESOURCE, INC.
Case Management
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8200
MRS. CARRIE L JOHNSON MSW, LICSW
Social Worker (Clinical)
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8216
AVIVO
Community/Behavioral Health
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8200
NICOLE ANNE MUKANDA MSW, LICSW
Social Worker (Clinical)
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8200
EMILY ANN BASTIAN L.I.C.S.W.
Social Worker (Clinical)
1825 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8236

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 Keith Deraad's NPI number?

The NPI number for Keith Deraad is 1063532216. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Keith Deraad located?

Keith Deraad practices at 1825 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 752-8246.

What is Keith Deraad's specialty?

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

When was this NPI record last updated?

The NPPES record for Keith Deraad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.