KELLY MATSON (NPI# 1265828685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265828685 |
| Entity Type | Individual |
| Full Name | KELLY MATSON |
| Credential | LPCC |
| Practice Address |
510 N Chestnut St Suite 201 Chaska MN 55318-3300 |
| Mailing Address |
8401 Wayzata Blvd Suite Golden Valley MN 55426-1343 |
| Practice Telephone | 9523613360 |
| Practice Fax Number | 9525137968 |
| Mailing Telephone | 7635441006 |
| Mailing Fax Number | 7635441008 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC00970 | MN | Behavioral Health & Social Service Providers |
| Street Address |
510 N CHESTNUT ST SUITE 201 |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548367568 | Mary Dahnert | Marriage & Family Therapist | 510 N Chestnut St, Suite #203, Chaska, MN 55318-3300 | 2006-09-20 |
| 1679924294 | Michelle Tschida | Marriage & Family Therapist | 510 N Chestnut St, Chaska, MN 55318-3300 | 2016-06-24 |
| 1740646041 | Stella Heights Counseling Center | Clinic/Center | 510 N Chestnut St, Suite 104, Chaska, MN 55318-3300 | 2016-01-04 |
| 1225434426 | Kay Nordgren | Counselor | 510 N Chestnut St, Suite 201, Chaska, MN 55318-3300 | 2014-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540503 | Jaclyn Amys | Counselor | 111 Hundertmark Rd Ste 450, Chaska, MN 55318-1460 | 2019-07-22 |
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1174039887 | Kristen Elizabeth Rachel Hayashi | Counselor | 320 N Walnut St, Chaska, MN 55318-4568 | 2017-12-18 |
| 1841642188 | Amber Jager | Counselor | 102 E 2nd St Ste 110b, Chaska, MN 55318-1966 | 2016-07-11 |
| 1508297359 | Jenna M Foss | Counselor | 1107 Hazeltine Blvd Ste 300, Chaska, MN 55318-1065 | 2013-12-04 |
| 1508194044 | Renae Louise Ludwig | Counselor | 306 Campfire Curv, Chaska, MN 55318-1575 | 2009-11-20 |
| 1982132205 | Nicole Melson | Counselor | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2017-05-31 |
| 1528593803 | Katelyn Jean Schwartz | Counselor | 1435 White Oak Dr Ste 200, Chaska, MN 55318-2567 | 2017-04-25 |
| 1104123975 | Catherine F. Fitterer | Counselor | 600 E 4th St, Chaska, MN 55318-2102 | 2011-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.