Kellan Vencil
NPI 1083143655ActiveIndividual· Counselor, Professional· Andover, MN
Counselor, Professional in Andover, Minnesota, licensed in MN and NE, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1083143655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 7, 2017 |
| Last updated in NPPES | Jul 15, 2022 |
| Certified by provider | Jul 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | CC02700 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | P-1400 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
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