KAI TAYLOR MASON (MA, LADC, LPCC) – Mental Health Counselor, NPI 1023871209

KAI TAYLOR MASON (MA, LADC, LPCC) is a healthcare provider. based in Plymouth, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LADC, LPCC. They hold a License No. CC04227 (MN). The NPI Number for KAI TAYLOR MASON (MA, LADC, LPCC) is 1023871209

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KAI TAYLOR MASON (MA, LADC, LPCC)
NPI
1023871209
Phone
(651) 274-5770
Address
15645 24TH AVE N UNIT H
Enumeration Date
31 January 2024
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9527467664
Graduation Year
2020 (6 years ago)
PAC ID
3577900638
Group Practice PAC ID
3678625035
Professional Enrollment ID
I20240325002559
Address ID
MN553784400SA8640XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for KAI TAYLOR MASON (MA, LADC, LPCC)

  • 15645 24TH AVE N UNIT H

    PLYMOUTH, MN 554476462

    Phone: (651) 274-5770

    Type: Mailing

  • 8640 EAGLE CREEK CIR

    SAVAGE, MN 553784400

    Phone: (952) 746-7664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240325002559IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55447)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678625035View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Nurse PractitionerCO
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does KAI TAYLOR MASON (MA, LADC, LPCC) have a public NPI I can cite?
Public records show KAI TAYLOR MASON (MA, LADC, LPCC) under NPI 1023871209.
Is KAI TAYLOR MASON (MA, LADC, LPCC) currently accepting referrals based on NPI status?
Registry metadata lists KAI TAYLOR MASON (MA, LADC, LPCC) as active.
What type of care does KAI TAYLOR MASON (MA, LADC, LPCC) provide?
KAI TAYLOR MASON (MA, LADC, LPCC)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAI TAYLOR MASON (MA, LADC, LPCC)?
KAI TAYLOR MASON (MA, LADC, LPCC) is associated with Plymouth, Minnesota in the same public data insurers reference.
Can I export KAI TAYLOR MASON (MA, LADC, LPCC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

10700 OLD COUNTY ROAD 15 STE 170
NPI: 1366443723

KATHRYNE E SLAVICS (M.A.)

Mental Health Counselor
State Hwy 55 Service Road, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1932282506

LAURIS J PRINSEN (L.A.D.C.)

Mental Health Counselor
Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1033281175

KATHLEEN PAIGE GULLO

Mental Health Counselor
Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1982776555

KIRA LEIGH HILDEN

Mental Health Counselor
Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1699847574

KRIS CHAFFEE (PSYD, LP)

Mental Health Counselor
Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1679647531

MINNESOTA PSYCHOLOGICAL RESOURCES

Clinical Social Worker
Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1497820039
1485 81st Ave NE
NPI: 1114074028

DAVID HENRY HOY (MA, LP)

Counseling Psychologist
Westwood Lake Office Center, 8401, Wayzata Boulevard, Golden Valley, Hennepin County, Minnesota, 55426, United States
NPI: 1639223431