Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KEVIN SPADING
NPI 1972592954
Counselor - Addiction (Substance Use Disorder) in Lake Elmo, MN

Active since October 20, 2005
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042(651) 379-0444(651) 379-0434 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Kevin Spading NPPES

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

KEVIN SPADING (NPI 1972592954) is an individual addiction (substance use disorder) provider in Lake Elmo, Minnesota, licensed in Minnesota (300537) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1972592954
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN SPADING
Location Address8669 EAGLE POINT BLVDLake Elmo, MN 55042-8628
Mailing Address8669 Eagle Point BlvdLake Elmo, MN 55042-8628 · (651) 379-0444 · Fax (651) 379-0434
Fax(651) 379-0434
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1972592954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 300537
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 12613 (MN)
8669 EAGLE POINT BLVD, Lake Elmo, MN 55042

Other Identifiers 3

Other539T6SPMN · Bcbs Id#
Other62-57490MN · Medica/ubh Id#
OtherHP42060MN · Health Partners

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.

Psychologist (Clinical)
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Marriage & Family Therapist
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Marriage & Family Therapist
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Psychologist
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Psychologist
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Psychologist
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Marriage & Family Therapist
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Counselor (Professional)
8669 EAGLE POINT BLVD
LAKE ELMO, MN 55042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972592954, enumerated as an "individual" on October 20, 2005.

The provider is located at 8669 EAGLE POINT BLVD LAKE ELMO, MN 55042 and the phone number is (651) 379-0444.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.