MARIT KYLLO L.A.M.F.T.
NPI 1174992457
Marriage & Family Therapist in Saint Paul, MN

Active since September 17, 2015PECOS Enrolled
1619 DAYTON AVE, SUITE 303, SAINT PAUL, MN 55104(651) 605-6050 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marit Kyllo L.a.m.f.t. NPPES

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

MARIT KYLLO L.A.M.F.T. (NPI 1174992457) is an individual marriage & family therapist in Saint Paul, Minnesota, licensed in Minnesota (3071) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174992457
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARIT KYLLOCredential: L.A.M.F.T.
Location Address1619 DAYTON AVE, SUITE 303Saint Paul, MN 55104-6206
Mailing Address1619 Dayton Ave, Suite 303Saint Paul, MN 55104-6206 · (651) 605-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2015
✔ NPI 1174992457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 3071
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1619 DAYTON AVE, Saint Paul, MN 55104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marit Kyllo L.a.m.f.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688024045
PECOS Enrollment IDI20231227001525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marit Kyllo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Social Worker
115 LANDMARK DR NE, SUITE 1
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • 79 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Physician Assistant (Medical)
1619 DAYTON AVE, STE 205
SAINT PAUL, MN 55104
Social Worker (Clinical)
1619 DAYTON AVE, STE 112B
SAINT PAUL, MN 55104
Nurse Practitioner (Obstetrics & Gynecology)
1619 DAYTON AVE, #109
SAINT PAUL, MN 55104
Nurse Practitioner (Women's Health)
1619 DAYTON AVE, SUITE 205
SAINT PAUL, MN 55104
Social Worker (Clinical)
1619 DAYTON AVE, SUITE 110
SAINT PAUL, MN 55104
Nurse Practitioner
1619 DAYTON AVE, SUITE 205
SAINT PAUL, MN 55104
Psychologist (Clinical)
1619 DAYTON AVE, SUITE 110
SAINT PAUL, MN 55104
Behavior Technician
1619 DAYTON AVE
SAINT PAUL, MN 55104

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 Marit Kyllo's NPI number?

The NPI number for Marit Kyllo is 1174992457. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Marit Kyllo located?

Marit Kyllo practices at 1619 Dayton Ave Suite 303, Saint Paul, MN 55104. The listed phone number is (651) 605-6050.

What is Marit Kyllo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Marit Kyllo enrolled in Medicare?

Yes. Marit Kyllo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marit Kyllo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marit Kyllo reassigns Medicare benefits to Fernbrook Family Center, Inc (Owatonna, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marit Kyllo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marit Kyllo accept?

Health plans from HealthPartners list Marit Kyllo 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 Marit Kyllo was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.