KELLY ANN VILLA
NPI 1174472328
Counselor - Addiction (Substance Use Disorder) in Sandstone, MN

Q: What is Kelly Villa's NPI number?

The NPI number for Kelly Villa is 1174472328. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Q: What is Kelly Villa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Villa was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 22, 2026

114 MINNESOTA ST. SANDSTONE, MN 55072, SANDSTONE, MN 55072(218) 380-2551(218) 520-3913 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Ann Villa NPPES

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

KELLY ANN VILLA (NPI 1174472328) is an individual addiction (substance use disorder) provider in Sandstone, Minnesota, licensed in Minnesota (303304) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1174472328

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY ANN VILLA

Location Address114 MINNESOTA ST. SANDSTONE, MN 55072Sandstone, MN 55072-5028

Mailing Address721 Highway 23 NSandstone, MN 55072-5028 · (218) 481-5546 · Fax (218) 520-3913

Phone(218) 380-2551

Fax(218) 520-3913

Sole ProprietorNo

Enumeration DateJanuary 22, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1174472328 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

License✔ Licensed in MN · 303304

114 MINNESOTA ST. SANDSTONE, MN 55072, Sandstone, MN 55072

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Other Providers at the Same Location NPPES

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

RECOVERY ROOTS SUPPORTIVE SERVICES LLC

Counselor (Addiction (Substance Use Disorder))

114 MINNESOTA ST. SANDSTONE, MN 55072
SANDSTONE, MN 55072

Pine County (218) 380-2551

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 Villa's NPI number?

The NPI number for Kelly Villa is 1174472328. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Kelly Villa located?

Kelly Villa practices at 114 Minnesota St. Sandstone, Mn 55072, Sandstone, MN 55072. The listed phone number is (218) 380-2551.

What is Kelly Villa's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Villa was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.