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1801446521 NPI number — KIMBERLY KEPPEN MA, LPCC

NPI Number: 1801446521
Health Care Provider/Practitioner: KIMBERLY KEPPEN MA, LPCC

Information about “1801446521” NPI (KIMBERLY KEPPEN MA, LPCC) exists in 1801446521 in HTML format HTML  |  1801446521 in plain Text format TXT  |  1801446521 in PDF (Portable Document Format) PDF  |  1801446521 in an XML format XML  formats.

NPI Number : 1801446521 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801446521",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEPPEN",
    "FirstName": "KIMBERLY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1995 W 136TH ST APT 421",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURNSVILLE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55337-4490",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-283-7615",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2550 UNIVERSITY AVE W STE 163",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PAUL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55114-1052",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-645-7971",
    "PracticeLocationAddressFaxNumber": "651-645-7972",
    "EnumerationDate": "09/14/2019",
    "LastUpdateDate": "10/30/2023",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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