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KELLY ELIZABETH KING PHD, LP
NPI 1679840391
Psychologist - Clinical in Minneapolis, MN

Active since November 23, 2011PECOS Enrolled
2512 S 7TH ST, MINNEAPOLIS, MN 55454(612) 626-6777(612) 624-1446 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Elizabeth King Phd, Lp NPPES

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

KELLY ELIZABETH KING PHD, LP (NPI 1679840391) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP 5429) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679840391
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY ELIZABETH KINGCredential: PHD, LP
Location Address2512 S 7TH STMinneapolis, MN 55454-1404
Mailing Address420 Delaware St Se, Mmc 486Minneapolis, MN 55455-0341 · (612) 624-9796
Phone(612) 626-6777
Fax(612) 624-1446
Sole ProprietorNo
Enumeration DateNovember 23, 2011
✔ NPI 1679840391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP 5429
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2512 S 7TH ST, Minneapolis, MN 55454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford 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)

Kelly Elizabeth King Phd, Lp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MICHELLE NICOLE RHEAULT M.D.
Pediatrics (Pediatric Nephrology)
2512 S 7TH ST, PEDIATRIC SPECIALTY CARE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-6777
ELLISSA A KURK PT, OTR/L
Occupational Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-7100
MAURA KELLY DPT
Physical Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-4509
MARIA KROUPINA PHD
Psychologist (Clinical Child & Adolescent)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-6777
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Specialty Pharmacy)
2512 S 7TH ST, STE 105
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-5006
ELISSA MARGUERITE DOWNS MD MPH
Pediatrics (Pediatric Gastroenterology)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-6777
KATHERINE BERGLOVE DPT
Physical Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-4277
KELSEY LUCIA SJOGREN APRN, CNP
Nurse Practitioner (Pediatrics)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Hennepin County (320) 761-8170

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 Kelly King's NPI number?

The NPI number for Kelly King is 1679840391. It was assigned to this individual provider in the NPPES registry on November 23, 2011.

Where is Kelly King located?

Kelly King practices at 2512 S 7th St, Minneapolis, MN 55454. The listed phone number is (612) 626-6777.

What is Kelly King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly King enrolled in Medicare?

Yes. Kelly King is registered in the Medicare PECOS enrollment system.

What insurance does Kelly King accept?

Health plans from Sanford Health Plan list Kelly King 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 Kelly King was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.