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MS. KIMBERLEY MARIE EDENS LADC
NPI 1205955978
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since March 27, 2007
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413(612) 236-1705(612) 236-1701 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberley Marie Edens Ladc NPPES

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

MS. KIMBERLEY MARIE EDENS LADC (NPI 1205955978) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (301386) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205955978
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KIMBERLEY MARIE EDENSCredential: LADC
Location Address1121 JACKSON ST NE, SUITE 105Minneapolis, MN 55413-1672
Mailing Address763 2nd StHammond, WI 54015-9781 · (651) 270-2123
Phone(612) 236-1705
Fax(612) 236-1701
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205955978 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 · 301386
1121 JACKSON ST NE, Minneapolis, MN 55413
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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.

MR. RODERICK EUGENE COLEMAN LADC
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE, 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1712
SPECIALIZED TREATMENT SERVICES, INC.
Substance Abuse Rehabilitation Facility
1121 JACKSON ST NE, SUITE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1703
ROXANA DELASMERCEDES MARQUEZ FIGUEROA
Doula
1121 JACKSON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 353-6293
DEQO ABDIRAHMAN MOHAMED
Doula
1121 JACKSON ST NE, SUITE 100
MINNEAPOLIS, MN 55413
Hennepin County (612) 353-6293
MR. JONATHAN DOUGLAS POUNDER LADC
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE, SUITE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 977-1818
HADIJATOU SANYANG
Doula
1121 JACKSON ST NE, SUITE 100
MINNEAPOLIS, MN 55413
Hennepin County (612) 353-6293
WINDY JOHNSON LSW
Social Worker
1121 JACKSON ST NE, SUITE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1718
LIFELONG HEALTH FMAILY CHIROPRACTIC
Chiropractor
1121 JACKSON ST NE, 111
MINNEAPOLIS, MN 55413
Hennepin County (612) 354-2213

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 Kimberley Edens's NPI number?

The NPI number for Kimberley Edens is 1205955978. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Kimberley Edens located?

Kimberley Edens practices at 1121 Jackson St NE Suite 105, Minneapolis, MN 55413. The listed phone number is (612) 236-1705.

What is Kimberley Edens'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 Kimberley Edens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.