Kevin H. Blonigen, M.A., L.P.
NPI 1578637534ActiveIndividual· Psychologist· Shakopee, MN
Psychologist (M.A., L.P.) with Eagan Counseling Clinic and 1 other group, practicing in Shakopee, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1578637534 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., L.P. |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Oct 9, 2025 |
| Certified by provider | Oct 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP3981 | 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 - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical groups
- Eagan Counseling ClinicEagan, MN · 61 clinicians
- Northstar RegionalChaska, MN · 7 clinicians
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