Kirby Kaczor, LPCC
Counselor · White Bear Lake, MN
Kirby Kaczor, LPCC is a counselor with a practice address in White Bear Lake, Minnesota, and NPI 1003679234, issued on Jan 31, 2024. Check the license (Minnesota 4263, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kirby Kaczor
- Credential
- LPCC
- Primary taxonomy
- Counselor 101Y00000X
- License number
- 4263 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2025 4TH St Ste 100, White Bear Lake, MN 55110
- Phone
- (651) 212-4920
- Enumerated
- Jan 31, 2024
- Record last updated
- Jan 31, 2024
- Medicare enrollment
- Enrolled (PECOS I20240215001691); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest counselor records → All 449 in Minnesota → Look up another NPI →
Also registered at 2025 4TH St Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lauren BruyereProfessional Counselor1821952359
- Christina Castaneda, LPCProfessional Counselor1114611563
- Maria Heaney, MA, LPCCMental Health Counselor1295667343
- Lauren RobbinsMental Health Counselor1962824664
Verify Kirby Kaczor in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 4263Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Vantage Mental HealthOak Park Heights, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kirby Kaczor among 449 counselor records in Minnesota
Kirby Kaczor, LPCC is one of 449 counselor records with a practice address in Minnesota. 10% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 77% of them.
- NPI issued2024 · 77% of these records are older, 12% newer
- In a Medicare fileYes · 10% of these records are
- In the CMS Doctors and Clinicians fileYes · 13% of these records are
- Graduated2021 · median 2015 among the 59 with a school on file
- Record last updated2024 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101Y00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Counselor providers in Minnesota
There are 449 counselor records in Minnesota.
All 449 in Minnesota → Every provider in White Bear Lake → Counselor nationwide →
The 8 counselor records with the nearest ZIP codes
- Cascia BermanWhite Bear Lake, MN 551101740052935
- Anna SchulzeWhite Bear Lake, MN 551101124708862
- Cal HansonNorth St Paul, MN 551091184345134
- Patrick McDonald, L.A.D.C.Maplewood, MN 551091710266481
- David BackusSaint Paul, MN 551081679927248
- Gloria BaffourNew Brighton, MN 551121366177172
- Marsha DettloffNew Brighton, MN 551121912433087
- Jordan FaviaSaint Paul, MN 551081285088864
Common questions
What is Kirby Kaczor, LPCC's NPI number?
Kirby Kaczor, LPCC's National Provider Identifier (NPI) is 1003679234, issued on Jan 31, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kirby Kaczor, LPCC located?
The NPPES record lists a practice address at 2025 4TH St Ste 100, White Bear Lake, MN, 55110. Phone: (651) 212-4920. Providers update this record themselves, so call before visiting.
How can I verify Kirby Kaczor, LPCC's license?
NPPES lists Minnesota license number 4263, as entered by the provider. 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. Medicare files from data.cms.gov. 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.