KRISTEN WYLDE LPCC
NPI 1235429812
Counselor - Professional in Minneapolis, MN

Q: What is Kristen Wylde's NPI number?

The NPI number for Kristen Wylde is 1235429812. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Kristen Wylde's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Wylde was last updated on August 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment

2925 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 262-5000 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kristen Wylde Lpcc NPPES

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

KRISTEN WYLDE LPCC (NPI 1235429812) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (00210) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1235429812

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKRISTEN WYLDECredential: LPCC

Location Address2925 CHICAGO AVEMinneapolis, MN 55407-1321

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(612) 262-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 15, 2011

Last NPPES UpdateAugust 3, 2016

✔ NPI 1235429812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 00210

2925 CHICAGO AVE, Minneapolis, MN 55407

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Wylde Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052761145

PECOS Enrollment IDI20240102003065

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.

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.

DR. TRACI ARNETTE ROBERTS M.D.

Internal Medicine