Kyle Johannessen, LPCC
NPI 1851923445 · Professional Counselor · Coon Rapids, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Johannessen, LPCC is a Professional Counselor provider in Coon Rapids, MN (NPI 1851923445).
Provider details
- NPI number
- 1851923445
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- No
- License
- CC02342 (MN)
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4849 Ivanhoe StDuluth, MN 55804-1131Phone: (218) 728-7418Fax: (218) 728-7467
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Kyle Johannessen's NPI number?
- Kyle Johannessen's National Provider Identifier (NPI) is 1851923445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Johannessen's specialty?
- Kyle Johannessen is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kyle Johannessen located?
- Kyle Johannessen's practice location on file with NPPES is 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845.
- What is Kyle Johannessen's phone number?
- The practice phone number listed in the NPPES registry for Kyle Johannessen is (612) 767-7222.
- Does Kyle Johannessen accept Medicare?
- Kyle Johannessen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Johannessen's NPI active?
- Yes — Kyle Johannessen's NPI (1851923445) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.