Kelly Simon
Mental Health Counselor · Maple Grove, MN
Kelly Simon is a mental health counselor with a practice address in Maple Grove, Minnesota, and NPI 1164916151, issued on Jun 21, 2018. Check the license with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Simon
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- Practice location
- 12918 63RD Ave N, Maple Grove, MN 55369
- Phone
- (612) 554-3737
- Enumerated
- Jun 21, 2018
- Record last updated
- Jan 8, 2026
- Medicare enrollment
- Enrolled (PECOS I20260311001696); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,133 in Minnesota → Look up another NPI →
Also registered at 12918 63RD Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Alex BruningMental Health Counselor1982427191
- Christina Buscko, LPCCMental Health Counselor1639573942
- Bethany Dillon, MA, LPCC, CCTPMental Health Counselor1164039905
- Naomi Doriott Larson, M.A., LPCProfessional Counselor1609005636
- Catherine Johnson, LPCCMental Health Counselor1710435623
Verify Kelly Simon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Simon among 4,133 mental health counselor records in Minnesota
Kelly Simon is one of 4,133 mental health counselor records with a practice address in Minnesota. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2018, is newer than 30% of them.
- NPI issued2018 · 30% of these records are older, 64% newer
- In a Medicare fileNo · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2014 · median 2017 among the 852 with a school on file
- Record last updated2026 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
52 mental health counselor records list a practice address in Maple Grove
They are 52 of the 1,568 NPPES records with a practice address in Maple Grove, and 4,133 mental health counselor records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,133 in Minnesota → Every provider in Maple Grove → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Christina Buscko, LPCCMaple Grove, MN 553691639573942
- Kristine Doten, MA, LPCCMaple Grove, MN 553691700284452
- Timothy Francisco, MA, LPCCMaple Grove, MN 553691467717850
- Ahmed Hassan, LPCCOsseo, MN 553691013469634
- Alison HolkupMaple Grove, MN 553691942660964
- Jennifer Johnson, LPCCMaple Grove, MN 553691790183614
- Catherine Johnson, LPCCMaple Grove, MN 553691710435623
- Elizabeth Jordan-O'Donnell, M.A., LPCMaple Grove, MN 553691760791248
Common questions
What is Kelly Simon's NPI number?
Kelly Simon's National Provider Identifier (NPI) is 1164916151, issued on Jun 21, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Simon located?
The NPPES record lists a practice address at 12918 63RD Ave N, Maple Grove, MN, 55369. Phone: (612) 554-3737. Providers update this record themselves, so call before visiting.
How can I verify Kelly Simon's license?
Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.