RICHARD FRED KIESEL III MA, LPCC
NPI 1316883358
Counselor - Mental Health in Edina, MN
About Richard Fred Kiesel Iii Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD FRED KIESEL III MA, LPCC (NPI 1316883358) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (CC05559) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard Fred Kiesel Iii Ma, 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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Kiesel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55410
- Reassigned Medicare billing, Minnesota enrollment
- 4 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Richard Kiesel's NPI number?
The NPI number for Richard Kiesel is 1316883358. It was assigned to this individual provider in the NPPES registry on April 23, 2026.
Where is Richard Kiesel located?
Richard Kiesel practices at 5200 Willson Rd Ste 215, Edina, MN 55424. The listed phone number is (218) 969-1398.
What is Richard Kiesel's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Richard Kiesel enrolled in Medicare?
Yes. Richard Kiesel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Richard Kiesel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Kiesel reassigns Medicare benefits to Bold North Psychotherapy, PLLC (Minneapolis, 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 Richard Kiesel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Kiesel accept?
Health plans from HealthPartners list Richard Kiesel 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 Richard Kiesel was last updated on April 23, 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.
# Richard Fred Kiesel III, MA, LPCC · NPI 1316883358
Mental Health provider in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2026.
## Identity
- **NPI:** 1316883358 (Entity type: Individual)
- **Enumerated:** April 23, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CC05559 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5200 WILLSON RD STE 215, Edina, MN 55424-1316
- **Phone:** (218) 969-1398
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bold North Psychotherapy, PLLC (NPI 1861105728, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1316883358) · Data from the CMS NPPES public registry.