Kelly Simon
NPI 1164916151 · Mental Health Counselor · Maple Grove, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Simon is a Mental Health Counselor provider in Maple Grove, MN (NPI 1164916151).
Provider details
- NPI number
- 1164916151
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2018-06-21
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Kelly Simon's NPI number?
- Kelly Simon's National Provider Identifier (NPI) is 1164916151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Simon's specialty?
- Kelly Simon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Simon located?
- Kelly Simon's practice location on file with NPPES is 12918 63rd Ave N, Maple Grove, MN 55369-6001.
- What is Kelly Simon's phone number?
- The practice phone number listed in the NPPES registry for Kelly Simon is (612) 554-3737.
- Does Kelly Simon accept Medicare?
- Kelly Simon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Simon's NPI active?
- Yes — Kelly Simon's NPI (1164916151) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.