KELLY SIMON COUNSELING AND WELLNESS LLC
NPI 1972359818
Clinic/Center - Adult Mental Health in Hopkins, MN

Active since April 29, 2024
32 10TH AVE S STE 212, HOPKINS, MN 55343(612) 314-5652 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Kelly Simon Counseling And Wellness Llc NPPES

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

KELLY SIMON COUNSELING AND WELLNESS LLC (NPI 1972359818) is a healthcare organization registered as an adult mental health in Hopkins, Minnesota and active in the NPI registry since April 2024. The organization lists Kelly Simon, Owner, as its authorized official.

NPPES Registry Identity

NPI1972359818
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKELLY SIMON COUNSELING AND WELLNESS LLC
Location Address32 10TH AVE S STE 212Hopkins, MN 55343-9481
Mailing Address32 10th Ave S Ste 212Hopkins, MN 55343-9481 · (612) 314-5652
Organization SubpartNo
Authorized OfficialKelly SimonOwner · (612) 314-5652
Enumeration DateApril 29, 2024
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1972359818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
32 10TH AVE S STE 212, Hopkins, MN 55343

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Simon Counseling And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Simon Counseling And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1164916151
12918 63RD AVE N
Maple Grove, MN 55369
(612) 554-3737
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Simon Counseling And Wellness LLC's NPI number?

The NPI number for Kelly Simon Counseling And Wellness LLC is 1972359818. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Kelly Simon Counseling And Wellness LLC located?

Kelly Simon Counseling And Wellness LLC is located at 32 10th Ave S Ste 212, Hopkins, MN 55343. The listed phone number is (612) 314-5652.

What is Kelly Simon Counseling And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Kelly Simon Counseling And Wellness LLC enrolled in Medicare?

Yes. Kelly Simon Counseling And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Simon Counseling And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kelly Simon Counseling And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Simon Counseling And Wellness LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.