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KELLY ANDERSEN LADC, LPCC
NPI 1932492907
Counselor - Mental Health in Pine City, MN

Active since May 24, 2011
645 3RD AVE SW, PINE CITY, MN 55063(320) 237-4227 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Andersen Ladc, Lpcc NPPES

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

KELLY ANDERSEN LADC, LPCC (NPI 1932492907) is an individual mental health provider in Pine City, Minnesota, licensed in Minnesota (1372) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1932492907
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY ANDERSENCredential: LADC, LPCC
Location Address645 3RD AVE SWPine City, MN 55063-1443
Mailing Address645 3rd Ave SwPine City, MN 55063-1443 · (320) 237-4227
Phone(320) 237-4227
Sole ProprietorYes
Enumeration DateMay 24, 2011
Last NPPES UpdateDecember 20, 2016
✔ NPI 1932492907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 1372
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302405 (MN)
645 3RD AVE SW, Pine City, MN 55063
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Other Providers at the Same Location NPPES 4

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

LEONE ANDERSON
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (612) 275-5259
MRS. DEBORAH DIANE LARSON LADC
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 629-1362
MR. DEL GENE BACON LADC
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 629-1362
MS. MARILYN JEAN PEDERSEN LADC
Counselor (Addiction (Substance Use Disorder))
645 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 629-1362

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 Kelly Andersen's NPI number?

The NPI number for Kelly Andersen is 1932492907. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Kelly Andersen located?

Kelly Andersen practices at 645 3rd Ave SW, Pine City, MN 55063. The listed phone number is (320) 237-4227.

What is Kelly Andersen'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 Kelly Andersen was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.