IndividualActive
Kelly Street
NPI 1053034975 · Counselor · Northfield, MN
Kelly Street is a Counselor provider in Northfield, MN (NPI 1053034975).
Provider details
- NPI number
- 1053034975
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
41 Fareway Dr
Northfield, MN 55057-2643
Phone: (651) 278-1406
Street-level locationGet directions
Mailing address
41 Fareway Dr
Northfield, MN 55057-2643
Registry dates
- Enumerated
- 2022-09-26
- Last updated
- 2022-09-26
- Certified
- 2022-09-24
Frequently asked questions
- What is Kelly Street's NPI number?
- Kelly Street's National Provider Identifier (NPI) is 1053034975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Street's specialty?
- Kelly Street is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Street located?
- Kelly Street's practice location on file with NPPES is 41 Fareway Dr, Northfield, MN 55057-2643.
- What is Kelly Street's phone number?
- The practice phone number listed in the NPPES registry for Kelly Street is (651) 278-1406.
- Is Kelly Street's NPI active?
- Yes — Kelly Street's NPI (1053034975) is active in the NPPES registry as of the last update on 2022-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.