Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KILLY KITZMANN, LADC, LPC-IT
ActiveKILLY KITZMANN, LADC, LPC-IT is a Mental Health Counselor healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1063244952 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1063244952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2024 (1.9714548767312 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
307059 (MN)8849-226 (WI)
Practice Information
- Address
-
6640 SHADY OAK RD STE 401EDEN PRAIRIE, MN, 553447834Browse MN providers · Browse ZIP 55344
- Phone
- 7152567166
- Fax
- 8884278048
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. ILYNE SANDAS | MALP | 1114007382 |
| AMY KATHERINE RATZLAFF | — | 1972754158 |
| CYNTHIA LOU DOMS | — | 1407097363 |
| JARED MICHAEL HIBMA | MA | 1780988360 |
| JUDITH MARIE HAFNER | B.A. | 1306145933 |
| RAY WILLIAMS | — | 1619276052 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.