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Kim Marie Gleich, MA, LP

NPI 1861653750ActiveIndividual· Psychologist, Clinical· Stillwater, MN

Psychologist, Clinical (MA, LP) with Canvas Health Inc, practicing in Stillwater, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1861653750
StatusActive
Entity typeIndividual
CredentialMA, LP
Sole proprietorNo
NPI issuedJun 23, 2008
Last updated in NPPESMay 8, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700XLP5146MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (MN)

Medicare sources and data years

Education and affiliations

Graduation year2001
Medicare specialtyMental Health Counselor
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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