KEVIN G SUTTERER M.A., L.M.F.T.
NPI 1487864633
Marriage & Family Therapist in Coon Rapids, MN

Q: What is Kevin Sutterer's NPI number?

The NPI number for Kevin Sutterer is 1487864633. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Kevin Sutterer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Sutterer was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 23, 2007PECOS Enrolled

1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 427-7964 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kevin G Sutterer M.a., L.m.f.t. NPPES

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

KEVIN G SUTTERER M.A., L.M.F.T. (NPI 1487864633) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (1721) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1487864633

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameKEVIN G SUTTERERCredential: M.A., L.M.F.T.

Location Address1930 COON RAPIDS BLVD NWCoon Rapids, MN 55433-4708

Mailing Address1930 Coon Rapids Blvd NwCoon Rapids, MN 55433-4708 · (763) 427-7964

Phone(763) 427-7964

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 23, 2007

Last NPPES UpdateJune 16, 2008

✔ NPI 1487864633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 1721

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1930 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin G Sutterer M.a., L.m.f.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507216041

PECOS Enrollment IDI20231227000374

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.

MR. RAND OLLEN ADAMS L.P.

Psychologist

1930 COON RAPIDS BLVD NW, FAMILY LIFE MENTAL HEALTH
COON RAPIDS, MN 55433

Anoka County (763) 427-7964

DAVID J MATHEWS LICSW

Social Worker (Clinical)