KALEIDOSCOPE COUNSELING (NPI# 1295260412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295260412 |
| Entity Type | Organization |
| Organization Name | KALEIDOSCOPE COUNSELING |
| Practice Address |
5871 Cedar Lake Rd S Suite 210 Saint Louis Park MN 55416-1472 |
| Mailing Address |
3329 Colfax Ave S Minneapolis MN 55408-3508 |
| Practice Telephone | 6122201642 |
| Mailing Telephone | 6122201642 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | MICHELLE SUAREZ (CHILD DEV. CONSULTANT AND LAMFT) |
| Authorized Official Telephone | 6122201642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 3352 | MN | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041937 | Kaleidoscope Counseling | Community/Behavioral Health | 3329 Colfax Ave S, Minneapolis, MN 55408-3508 | 2017-02-09 |
| 1922542950 | Kaleidoscope Counseling | Marriage & Family Therapist | 2153 E Main St, C14 #385, Duncan, SC 29334-8724 | 2016-12-09 |
| 1013298082 | Kaleidoscope Counseling | Community/Behavioral Health | 904 E 8th St, Charlotte, NC 28204-2390 | 2011-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Kaleidoscope Counseling and Case Management LLC | 11 Columbia Court, Portsmouth, Virginia 23704 |
| Street Address |
5871 CEDAR LAKE RD S SUITE 210 |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55416-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508135682 | Andrew Arthur Raak | Acupuncturist | 5871 Cedar Lake Rd S, Suite 212, Saint Louis Park, MN 55416-1472 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
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| 1265975080 | Cap Inc | Point of Service | 7376 200th Ave, Royalton, MN 56373-3614 | 2016-11-28 |
| 1639611890 | Bdote Learning Center | Point of Service | 3216 E 29th St, Minneapolis, MN 55406-1780 | 2016-11-04 |
| 1679936025 | Lingua Line LLC | Point of Service | 1409 11th Ave S Apt 408, Minneapolis, MN 55404-1417 | 2016-04-03 |
| 1184082471 | Asian Chiropractic Inc. | Point of Service | 7827 Brooklyn Blvd, Brooklyn Park, MN 55445-2716 | 2016-02-02 |
| 1841613064 | Global Lynx, LLC | Point of Service | 1415 Arcade St, Suite 202, Saint Paul, MN 55106-1822 | 2014-01-23 |
| 1487076238 | Chatters Lumber Inc | Point of Service | 4715 17th Ave S, Minneapolis, MN 55407-3613 | 2014-01-14 |
| 1497193536 | Annur Clinic LLC | Point of Service | 1729 Lyndale Ave N, Minneapolis, MN 55411-3349 | 2013-06-11 |
| 1982945184 | Premeir Home Healthcare | Point of Service | 612 E 27th St, Minneapolis, MN 55407-1002 | 2013-03-13 |
| 1164700076 | Sound Solutions Hearing Centers of Minnesota LLC. | Point of Service | 4101 W Division St Ste 4, Saint Cloud, MN 56301-3729 | 2011-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55416 |
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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.