KYLE JOHANNESSEN LPCC
NPI 1851923445
Counselor - Professional in Coon Rapids, MN
About Kyle Johannessen Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE JOHANNESSEN LPCC (NPI 1851923445) is an individual professional provider in Coon Rapids, Minnesota, licensed in Minnesota (CC02342) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Duluth, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Kyle Johannessen Lpcc 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.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851923445, enumerated as an "individual" on February 11, 2020.
The provider is located at 9120 SPRINGBROOK DR NW COON RAPIDS, MN 55433 and the phone number is (612) 767-7222.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.