BETHANY S KUNKEL (LPCC) – Professional Counselor, NPI 1386997153

BETHANY S KUNKEL (LPCC) is a healthcare provider. based in Crystal, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 00412 (MN). The NPI Number for BETHANY S KUNKEL (LPCC) is 1386997153

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY S KUNKEL (LPCC)
NPI
1386997153
Phone
Not provided
Address
7000 57TH AVE N STE 100
Enumeration Date
18 October 2012
Last Update Date
18 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632109966
Graduation Year
2006 (20 years ago)
PAC ID
8325499528
Group Practice PAC ID
3678711900
Professional Enrollment ID
I20240112000450
Address ID
MN553696001MA12918NXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for BETHANY S KUNKEL (LPCC)

  • 7000 57TH AVE N STE 100

    CRYSTAL, MN 554283479

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-01-12

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
I20240112000450IMental 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 55428)

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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: 3678711900View full group profile
NameSpecialtyState
-KS
Marriage And Family TherapistNH
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorWI
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Can I use this page to confirm BETHANY S KUNKEL (LPCC)'s NPI?
Yes. BETHANY S KUNKEL (LPCC) is listed with NPI 1386997153 in the public NPI dataset.
Does the file indicate BETHANY S KUNKEL (LPCC) is practicing under active NPI?
Directory data currently reports BETHANY S KUNKEL (LPCC) as active.
What healthcare role does BETHANY S KUNKEL (LPCC) hold?
Scheduling teams often label BETHANY S KUNKEL (LPCC) under Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect BETHANY S KUNKEL (LPCC) on a map?
Expect Crystal, Minnesota as a primary anchor for BETHANY S KUNKEL (LPCC) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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