MS. KIMBERLY ANN LUNDHOLM-EADES M.S., LMFT - NPI 1538253133 - Marriage & Family Therapist in Centerville, MN

Q: What is Kimberly Lundholm-eades's NPI number?

The NPI number for Kimberly Lundholm-eades is 1538253133. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Kimberly Ann Olson M.S., Lmft.

Q: What is Kimberly Lundholm-eades's specialty?

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

On this page

About Ms. Kimberly Ann Lundholm-eades M.s., Lmft NPPES

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

MS. KIMBERLY ANN LUNDHOLM-EADES M.S., LMFT (NPI 1538253133) is an individual marriage & family therapist in Centerville, Minnesota, licensed in Minnesota (942) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1538253133

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. KIMBERLY ANN LUNDHOLM-EADESCredential: M.S., LMFT

Location Address7039 20TH AVECenterville, MN 55038-9737

Mailing Address7039 20th AveCenterville, MN 55038-9737 · (651) 393-2830 · Fax (651) 393-2835

Phone(651) 393-2830

Fax(651) 393-2835

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 15, 2017

✔ NPI 1538253133 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 · 942

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.

7039 20TH AVE, Centerville, MN 55038

Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Ann Olson M.s., Lmft

Other Identifiers 1

Other011N6LUMN · Blue Cross Blue Shield

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 and accepts Medicare assignment

Ms. Kimberly Ann Lundholm-eades M.s., Lmft 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 ID4082745625

PECOS Enrollment IDI20240308003437

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 8

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

DR. PATRICIA KNISKERN PSY D, LP

Psychologist