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KIMBERLY FOTHERGILL
NPI 1124533369
Counselor - Addiction (Substance Use Disorder) in Maple Grove, MN

Active since December 11, 2017
13603 80TH CIR N, MAPLE GROVE, MN 55369(763) 274-3120(763) 274-3121 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2018, Oct 8, 2018, Dec 11, 2017 (3 updates tracked since 2017).

About Kimberly Fothergill NPPES

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

KIMBERLY FOTHERGILL (NPI 1124533369) is an individual addiction (substance use disorder) provider in Maple Grove, Minnesota and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1124533369
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIMBERLY FOTHERGILL
Location Address13603 80TH CIR NMaple Grove, MN 55369-8961
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Phone(763) 274-3120
Fax(763) 274-3121
Sole ProprietorNo
Enumeration DateDecember 11, 2017
Last NPPES UpdateOctober 22, 20183 updates tracked since enumeration
✔ NPI 1124533369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
13603 80TH CIR 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 ›

Other Providers at the Same Location NPPES 20

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

DAVID M. KOSFELD LMFT
Marriage & Family Therapist
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DR. ANITA THAMPY M.D
Psychiatry & Neurology (Psychiatry)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
AMOS KOUKOU MSW, LGSW
Social Worker (Clinical)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DANIEL KNUDSON LADC
Counselor (Addiction (Substance Use Disorder))
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
BLAKE MALLOY
Counselor (Mental Health)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DERELLE R MORRISON
Marriage & Family Therapist
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
MARTHA SEPULVEDA
Counselor (Mental Health)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 284-3706
DR. ROCHELLE ELIZABETH MCCOURTNEY GREDVIG PSYD
Psychologist (Counseling)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120

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 Kimberly Fothergill's NPI number?

The NPI number for Kimberly Fothergill is 1124533369. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Kimberly Fothergill located?

Kimberly Fothergill practices at 13603 80th Cir N, Maple Grove, MN 55369. The listed phone number is (763) 274-3120.

What is Kimberly Fothergill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Kimberly Fothergill accept?

Health plans from HealthPartners list Kimberly Fothergill 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 Kimberly Fothergill was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.