1. Home
  2. Directory
  3. Minnesota
  4. Coon Rapids
  5. Counselor
  6. NPI Profile

KYLE JOHANNESSEN LPCC
NPI 1851923445
Counselor - Professional in Coon Rapids, MN

Active since February 11, 2020PECOS EnrolledAccepts Medicare Assignment
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(612) 767-7222 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2024, Feb 11, 2020 (2 updates tracked since 2020).

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 and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851923445
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE JOHANNESSENCredential: LPCC
Location Address9120 SPRINGBROOK DR NWCoon Rapids, MN 55433-5845
Mailing Address9120 Springbrook Dr NwCoon Rapids, MN 55433-5845 · (612) 767-7222
Phone(612) 767-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 11, 2020
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1851923445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02342
9120 SPRINGBROOK DR NW, Coon Rapids, MN 55433
Open in Google Maps ↗

Accepted Insurance

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

PECOS PAC ID3274074299
PECOS Enrollment IDI20240918001218
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.

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.

DESIREE BEASLEY
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (952) 767-7222
SARAH JOY LYNCH MS, BCBA
Behavior Analyst
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 767-7222
SAHAAM AHMED ABDI
Speech-Language Pathologist
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 400-6171
ALYSSA KATHRYN CASSIERE
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 331-9413
FATUMA A MOHAMED
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 231-2590
ASANTI CHINKSSO
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 231-2590
CAMPBELLE BAUER
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 817-1887
MEGHAN P RAJKOWSKI LPCC
Counselor (Mental Health)
9120 SPRINGBROOK DR NW
MINNEAPOLIS, MN 55433
Anoka County (763) 281-2590

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 Kyle Johannessen's NPI number?

The NPI number for Kyle Johannessen is 1851923445. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Kyle Johannessen located?

Kyle Johannessen practices at 9120 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (612) 767-7222.

What is Kyle Johannessen's specialty?

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

Is Kyle Johannessen enrolled in Medicare?

Yes. Kyle Johannessen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Johannessen accept?

Health plans from HealthPartners list Kyle Johannessen 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 Kyle Johannessen was last updated on September 5, 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.