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KYA RUD LPCC
NPI 1073138491
Counselor - Mental Health in Shakopee, MN

Active since June 11, 2020Opted out of Medicare · through Feb 27, 2028
500 MARSCHALL RD STE 100, SHAKOPEE, MN 55379(952) 856-3932(952) 448-6047 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Nov 15, 2022, Jun 11, 2020 (3 updates tracked since 2020).

About Kya Rud Lpcc NPPES

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

KYA RUD LPCC (NPI 1073138491) is an individual mental health provider in Shakopee, Minnesota, licensed in Minnesota (3497) and active in the NPI registry since June 2020. She has opted out of Medicare through February 27, 2028.

NPPES Registry Identity

NPI1073138491
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYA RUDCredential: LPCC
Location Address500 MARSCHALL RD STE 100Shakopee, MN 55379-2689
Mailing Address500 Marschall Rd Ste 300Shakopee, MN 55379-2690 · (952) 856-3932 · Fax (952) 448-6047
Phone(952) 856-3932
Fax(952) 448-6047
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1073138491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3497
500 MARSCHALL RD STE 100, Shakopee, MN 55379
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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

ⓘ

Opted out of Medicare

Kya Rud Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2024 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2024
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

KARISSA JOY GODEL LPCC
Counselor (Mental Health)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 974-3999
LINDA JUNE JOHNSON L.P.
Psychologist
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 448-6557
ROBERT MACINNES LPCC
Counselor (Professional)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 448-6557
JACQUELYN LEE KERKOW-DOHMEN LICSW
Social Worker (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 448-6557
DANIEL L SNYDER PSYD., LP
Psychologist (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 448-6557
KEVIN H BLONIGEN M.A., L.P.
Psychologist
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 856-3932
CARMEN BARNES LICSW
Social Worker (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 448-6557
BRITTANY WERRE LICSW
Social Worker (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Scott County (952) 448-6557

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 Kya Rud's NPI number?

The NPI number for Kya Rud is 1073138491. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Kya Rud located?

Kya Rud practices at 500 Marschall Rd Ste 100, Shakopee, MN 55379. The listed phone number is (952) 856-3932.

What is Kya Rud's specialty?

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

Is Kya Rud enrolled in Medicare?

No. Kya Rud has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kya Rud accept?

Health plans from HealthPartners list Kya Rud 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 Kya Rud was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.