Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SIMON
Active Sole ProprietorKELLY SIMON is a Mental Health Counselor healthcare provider located in MAPLE GROVE, Minnesota. NPI 1164916151 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1164916151
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2018 (8.1299962606277 yrs)
- Last Updated
- Jan 8, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
12918 63RD AVE NMAPLE GROVE, MN, 553696001Browse MN providers · Browse ZIP 55369
- Phone
- 6125543737
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. DANIELLE MALO LINK | LPCC | 1164631230 |
| MS. ELIZABETH JORDAN-O'DONNELL | M.A., LPC | 1760791248 |
| MR. TIMOTHY JAMES FRANCISCO | MA, LPCC | 1467717850 |
| KRISTIN LEE MOEN | MA, LPCC | 1457790990 |
| JENNA SEAL | LPCC | 1962831222 |
| CHRISTINA BUSCKO | LPCC | 1639573942 |
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.