KARY J GILLENWATERS OTR/L
NPI 1316954985
Counselor - Addiction (Substance Use Disorder) in Otsego, MN

Active since August 03, 2006
15590 90TH ST NE, OTSEGO, MN 55330(763) 755-4275 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kary J Gillenwaters Otr/l NPPES

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

KARY J GILLENWATERS OTR/L (NPI 1316954985) is an individual addiction (substance use disorder) provider in Otsego, Minnesota, licensed in North Dakota (1458) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316954985
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKARY J GILLENWATERSCredential: OTR/L
Location Address15590 90TH ST NEOtsego, MN 55330-9452
Mailing Address15590 90th St NeOtsego, MN 55330-9452 · (763) 755-4275
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 6, 2014
NPI 1316954985 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 ND · 1458
15590 90TH ST NE, Otsego, MN 55330

Other Names 1

Former Name (1)Kary Reule Lac

Other Identifiers 1

Other018808ND · Bcbs Of Nd Pin

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.

Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Physical Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Speech-Language Pathologist
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Speech-Language Pathologist
15590 90TH ST NE
OTSEGO, MN 55330

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 Kary Gillenwaters's NPI number?

The NPI number for Kary Gillenwaters is 1316954985. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Kary Reule Lac.

Where is Kary Gillenwaters located?

Kary Gillenwaters practices at 15590 90th St NE, Otsego, MN 55330. The listed phone number is (763) 755-4275.

What is Kary Gillenwaters'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 Kary Gillenwaters was last updated on February 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.