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1730365800 NPI number — KATHY ANNE GIESELMAN M.A.

NPI Number: 1730365800
Health Care Provider/Practitioner: KATHY ANNE GIESELMAN M.A.

Information about “1730365800” NPI (KATHY ANNE GIESELMAN M.A.) exists in 1730365800 in HTML format HTML  |  1730365800 in plain Text format TXT  |  1730365800 in PDF (Portable Document Format) PDF  |  1730365800 in an XML format XML  formats.

NPI Number : 1730365800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730365800",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIESELMAN",
    "FirstName": "KATHY",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GIESELMAN",
    "OtherFirstName": "KATHIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMFT, LPCC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5861 CEDAR LAKE RD S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS PARK",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55416-1653",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "122-028-7036",
    "MailingAddressFaxNumber": "612-241-1943",
    "FirstLinePracticeLocationAddress": "5861 CEDAR LAKE RD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55416-1653",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-202-8703",
    "PracticeLocationAddressFaxNumber": "612-241-1943",
    "EnumerationDate": "01/18/2008",
    "LastUpdateDate": "08/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "55690",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "1900",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "330",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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