KENNETH B. LITTLE M.A.
NPI 1104869528
Psychologist in Roseville, MN

Active since June 14, 2006
1935 COUNTY ROAD B2 W STE 120, ROSEVILLE, MN 55113(651) 964-0235(651) 340-5652 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth B. Little M.a. NPPES

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

KENNETH B. LITTLE M.A. (NPI 1104869528) is an individual psychologist in Roseville, Minnesota, licensed in Minnesota (LP0568) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104869528
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKENNETH B. LITTLECredential: M.A.
Location Address1935 COUNTY ROAD B2 W STE 120Roseville, MN 55113-2722
Mailing Address5505 Interlachen BlvdEdina, MN 55436-1322 · (952) 300-7074
Fax(651) 340-5652
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 19, 2019
NPI 1104869528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP0568
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1935 COUNTY ROAD B2 W STE 120, Roseville, MN 55113

Other Identifiers 6

Medicaid976847500MN
Other143646MN · Ucare Minnesota
Other229D0LIMN · Blue Shield Of Minnesota
Other62-47135MN · United Behavioral Health
Other1032815MN · Preferredone
OtherHP50066MN · Healthpartners

Reviews for KENNETH B. LITTLE M.A.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Marriage & Family Therapist
1935 COUNTY ROAD B2 W STE 120
ROSEVILLE, MN 55113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104869528, enumerated as an "individual" on June 14, 2006.

The provider is located at 1935 COUNTY ROAD B2 W STE 120 ROSEVILLE, MN 55113 and the phone number is (651) 964-0235.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.