MR. ISAAC OLIVER CONLON-KVALE MA, LPCC
NPI 1699418988
Counselor - Professional in Minneapolis, MN

Active since April 15, 2022PECOS Enrolled
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408(612) 305-8139 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Isaac Oliver Conlon-kvale Ma, Lpcc NPPES

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

MR. ISAAC OLIVER CONLON-KVALE MA, LPCC (NPI 1699418988) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (4479) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699418988
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ISAAC OLIVER CONLON-KVALECredential: MA, LPCC
Location Address3133 HENNEPIN AVEMinneapolis, MN 55408-2620
Mailing Address4501 Abbott Ave SMinneapolis, MN 55410-1446 · (612) 708-6484
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 15, 2022
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1699418988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 4479
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3133 HENNEPIN AVE, Minneapolis, MN 55408

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Isaac Oliver Conlon-kvale Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173068855
PECOS Enrollment IDI20240717004413
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.

Medicare Billing Reassignment

Medicare enrollment records show Isaac Conlon-kvale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 12

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

Psychologist (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Professional)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
3133 HENNEPIN AVE, SUITE TWO
MINNEAPOLIS, MN 55408
Marriage & Family Therapist
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408

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 Isaac Conlon-kvale's NPI number?

The NPI number for Isaac Conlon-kvale is 1699418988. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Isaac Conlon-kvale located?

Isaac Conlon-kvale practices at 3133 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 305-8139.

What is Isaac Conlon-kvale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Isaac Conlon-kvale enrolled in Medicare?

Yes. Isaac Conlon-kvale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Isaac Conlon-kvale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isaac Conlon-kvale reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). The 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 Isaac Conlon-kvale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Isaac Conlon-kvale accept?

Health plans from HealthPartners list Isaac Conlon-kvale 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 Isaac Conlon-kvale was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.