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ARIS CLINIC
NPI 1609978063
Psychiatry & Neurology - Psychiatry in Woodbury, MN

Active since September 05, 2006
2040 WOODWINDS DR, WOODBURY, MN 55125(651) 259-9750(651) 259-9790 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aris Clinic NPPES

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

ARIS CLINIC (NPI 1609978063) is a healthcare organization registered as a psychiatry in Woodbury, Minnesota and active in the NPI registry since September 2006. The organization maintains 2 additional practice locations and lists Molly Wilson, General Manager, as its authorized official.

NPPES Registry Identity

NPI1609978063
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameARIS CLINIC PA
Location Address2040 WOODWINDS DRWoodbury, MN 55125-2522
Mailing Address2040 Woodwinds DrWoodbury, MN 55125-2522 · (651) 259-9750 · Fax (651) 259-9790
Phone(651) 259-9750
Fax(651) 259-9790
Organization SubpartNo
Authorized OfficialMolly WilsonGeneral Manager · (651) 259-9750
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1609978063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2040 WOODWINDS DR, Woodbury, MN 55125
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Other Names 2

Doing Business AsAris Clinic
Former Legal Business NameRaymond Kennedy Md Pa

Secondary Practice Locations 2

Location 12675 Long Lake Rd Ste 125Roseville, MN 55113-2823 · Phone (651) 259-9750
Location 2151 W Burnsville Pkwy Ste 100Burnsville, MN 55337-2525 · Phone (651) 259-9750

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aris Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Aris Clinic, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Mental Health Counselor4
Nurse Practitioner4
Psychiatry2
Clinical Social Worker1

Clinicians, nearest first (11)

Jenna Anderson, APRN
Nurse Practitioner
NPI 1417638883
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Natalie Carstenbrock, PMHNP-BC, FNP-BC
Nurse Practitioner
NPI 1437528759
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Chad Cartier, MS, LPCC
Mental Health Counselor
NPI 1689004467
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Victoria Johnson, LPCC
Mental Health Counselor
NPI 1376199729
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOSSame address
Raymond Kennedy, MD
Psychiatry
NPI 1871576223
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Shalene Kennedy, MD
Psychiatry
NPI 1043295876
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Erik Kersten, LPCC
Mental Health Counselor
NPI 1033913538
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOSSame address
Eleanor O'neil, LICSW
Clinical Social Worker
NPI 1891572921
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOSSame address
Michelle Rowland, DNP, CPNP, PMHNP
Nurse Practitioner
NPI 1275020356
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Tamara Tew, APRN, CNP, PMHNP-BC
Nurse Practitioner
NPI 1043613235
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOS✔ Accepts MedicareSame address
Taylor Waldvogel, MA, LPCC
Mental Health Counselor
NPI 1609657162
2040 WOODWINDS DR
Woodbury, MN 55125
(651) 259-9750
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Aris Clinic PA's NPI number?

The NPI number for Aris Clinic PA is 1609978063. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Aris Clinic. The provider was formerly known as Raymond Kennedy MD PA.

Where is Aris Clinic PA located?

Aris Clinic PA is located at 2040 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 259-9750.

What is Aris Clinic PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Aris Clinic PA enrolled in Medicare?

Yes. Aris Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aris Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Aris Clinic PA. A 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 the clinician's services. The largest specialties are Mental Health Counselor (4), Nurse Practitioner (4) and Psychiatry (2). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aris Clinic PA accept?

Health plans from HealthPartners list Aris Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aris Clinic PA was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.