MR. KYLE JAMES SMYTH LPCC, LADC
NPI 1568934776
Counselor - Mental Health in Spring Lake Park, MN

Active since December 28, 2018
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432(763) 205-4843(612) 416-2085 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 24, 2024, Apr 25, 2024, Jan 12, 2022 and 1 more (4 updates tracked since 2018).

About Mr. Kyle James Smyth Lpcc, Ladc NPPES

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

MR. KYLE JAMES SMYTH LPCC, LADC (NPI 1568934776) is an individual mental health provider in Spring Lake Park, Minnesota, licensed in Minnesota (4377) and active in the NPI registry since December 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568934776
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYLE JAMES SMYTHCredential: LPCC, LADC
Location Address7766 HIGHWAY 65 NESpring Lake Park, MN 55432-2832
Mailing Address141 4th St E Apt 1122Saint Paul, MN 55101-2524 · (651) 207-9860
Fax(612) 416-2085
Sole ProprietorNo
Enumeration DateDecember 28, 2018
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1568934776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 4377
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305110 (MN)
7766 HIGHWAY 65 NE, Spring Lake Park, MN 55432

Secondary Practice Locations 2

Location 16636 Cedar Ave S Ste 380Richfield, MN 55423-2712 · Phone (612) 758-0893
Location 21935 County Road B2 W Ste 240Roseville, MN 55113-2722 · Phone (763) 600-7572

Accepted Insurance

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.

Dentist
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Dentist
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Dentist
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Dentist (General Practice)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Clinic/Center (Methadone)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568934776, enumerated as an "individual" on December 28, 2018.

The provider is located at 7766 HIGHWAY 65 NE SPRING LAKE PARK, MN 55432 and the phone number is (763) 205-4843.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.