1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Counselor
  6. NPI Profile

MR. KYLE LOUIS PELTOLA M.ED., LPCC
NPI 1386113876
Counselor - Mental Health in Saint Paul, MN

Active since November 14, 2018PECOS Enrolled
402 UNIVERSITY AVE E, SAINT PAUL, MN 55130(651) 587-1292 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Kyle Louis Peltola M.ed., Lpcc NPPES

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

MR. KYLE LOUIS PELTOLA M.ED., LPCC (NPI 1386113876) is an individual mental health provider in Saint Paul, Minnesota, licensed in Minnesota (CC01965) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386113876
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYLE LOUIS PELTOLACredential: M.ED., LPCC
Location Address402 UNIVERSITY AVE ESaint Paul, MN 55130-4400
Mailing Address202 Mcboal StSaint Paul, MN 55102-2723 · (507) 626-0500
Phone(651) 587-1292
Sole ProprietorYes
Enumeration DateNovember 14, 2018
✔ NPI 1386113876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC01965
402 UNIVERSITY AVE E, Saint Paul, MN 55130
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kyle Louis Peltola M.ed., Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kyle Peltola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ramsey County Mental Health Center
3.1 mi
Mental Health (Including Community Mental Health Center)
1919 UNIVERSITY AVE W, SUITE 200
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 55 clinicians in this Medicare group
NPI 1235299124 (651) 266-7999
Grow Healthcare Group PA
1,506 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUMINITA GRAF
Social Worker (Clinical)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 266-7900
BEATRIZ CARRILLO HERRERA
Counselor (Mental Health)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 266-3546
MARGARET ROSE WESTERLUND MA LPCC
Counselor (Mental Health)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 247-9702
MARY SUSAN HOFFMAN L.I.C.S.W.
Social Worker (Clinical)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 266-7900
ASHLEY SPORER EVENSON LICSW
Social Worker (Clinical)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 266-3550
MS. JAMIE M JACKSON LPCC
Counselor (Mental Health)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 266-7900
ALYSSA CONDUCY LICSW
Social Worker (Clinical)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 266-3518
MS. EMMA YANG MSW, LICSW
Social Worker (Clinical)
402 UNIVERSITY AVE E
SAINT PAUL, MN 55130
Ramsey County (651) 472-4148

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 Kyle Peltola's NPI number?

The NPI number for Kyle Peltola is 1386113876. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Kyle Peltola located?

Kyle Peltola practices at 402 University Ave E, Saint Paul, MN 55130. The listed phone number is (651) 587-1292.

What is Kyle Peltola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kyle Peltola enrolled in Medicare?

Yes. Kyle Peltola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyle Peltola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Peltola reassigns Medicare benefits to 2 organizations: Ramsey County Mental Health Center (Saint Paul, MN) and Grow Healthcare Group PA (Miami, FL). Each 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 Kyle Peltola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Peltola was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.