Kelsey Miller
NPI 1164957858ActiveIndividual· Counselor, Mental Health· Plymouth, MN
Counselor, Mental Health in Plymouth, Minnesota, trained at University of North Dakota School of Medicine (class of 2014). Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1164957858 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 1, 2017 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | CC01511 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Mental Health Counselor |
Medical group
- Affinity Psychological Services PCSaint Cloud, MN · 69 clinicians
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