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KASSANDRA KAVANAUGH M.S.
NPI 1922540111
Counselor - Mental Health in Baxter, MN

Active since November 06, 2016
13045 FALCON DR, SUITE 100, BAXTER, MN 56425(218) 829-9307 Get Directions Write a Review

NPPES record last updated: November 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kassandra Kavanaugh M.s. NPPES

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

KASSANDRA KAVANAUGH M.S. (NPI 1922540111) is an individual mental health provider in Baxter, Minnesota and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1922540111
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKASSANDRA KAVANAUGHCredential: M.S.
Location Address13045 FALCON DR, SUITE 100Baxter, MN 56425-4201
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786
Phone(218) 829-9307
Sole ProprietorNo
Enumeration DateNovember 6, 2016
✔ NPI 1922540111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13045 FALCON DR, Baxter, MN 56425
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Other Providers at the Same Location NPPES 11

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

SYDNEY SHAE SWENSON
Marriage & Family Therapist
13045 FALCON DR
BAXTER, MN 56425
Crow Wing County (218) 297-2133
KATHRYN MOSER MSW, LICSW
Social Worker (Clinical)
13045 FALCON DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
TRACY HERSHEY
Student in an Organized Health Care Education/Training Program
13045 FALCON DR
BAXTER, MN 56425
Crow Wing County (218) 282-7439
ALESHA KETTER M.S., LPCC
Counselor (Professional)
13045 FALCON DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
DR. DONNA SUE PETERSON PSY.D, LP
Psychologist (Clinical)
13045 FALCON DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
KARLA CHRISTENSEN LADC
Counselor (Addiction (Substance Use Disorder))
13045 FALCON DR
BAXTER, MN 56425
Crow Wing County (218) 829-9307
MS. LATRICIA ANN ALT-PETERS APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
13045 FALCON DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
MORGEN JORAY JUEL PH.D., LP
Psychologist (Clinical)
13045 FALCON DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307

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 Kassandra Kavanaugh's NPI number?

The NPI number for Kassandra Kavanaugh is 1922540111. It was assigned to this individual provider in the NPPES registry on November 6, 2016.

Where is Kassandra Kavanaugh located?

Kassandra Kavanaugh practices at 13045 Falcon Dr Suite 100, Baxter, MN 56425. The listed phone number is (218) 829-9307.

What is Kassandra Kavanaugh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kassandra Kavanaugh was last updated on November 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.