KELLY FERN
NPI 1891240867
Marriage & Family Therapist in Apple Valley, MN

Q: What is Kelly Fern's NPI number?

The NPI number for Kelly Fern is 1891240867. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Q: What is Kelly Fern's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Fern was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 19, 2016PECOS Enrolled

15650 CEDAR AVE, APPLE VALLEY, MN 55124(612) 672-6999 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2018, Aug 19, 2016 (2 updates tracked since 2016).

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About Kelly Fern NPPES

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

KELLY FERN (NPI 1891240867) is an individual marriage & family therapist in Apple Valley, Minnesota, licensed in Minnesota (3326) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1891240867

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY FERN

Location Address15650 CEDAR AVEApple Valley, MN 55124-7283

Mailing Address1320 S Frontage RdHastings, MN 55033-2684 · (612) 500-0905

Phone(612) 672-6999

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 19, 2016

Last NPPES UpdateNovember 8, 20182 updates tracked since enumeration

✔ NPI 1891240867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3326

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

15650 CEDAR AVE, Apple Valley, MN 55124

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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 (PECOS)

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

PECOS PAC ID345585733

PECOS Enrollment IDI20260312002069

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.

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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.

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