KELSEY WILLIAMSON (LPCC) – Professional Counselor, NPI 1760073191

KELSEY WILLIAMSON (LPCC) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 2562 (MN). The NPI Number for KELSEY WILLIAMSON (LPCC) is 1760073191

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY WILLIAMSON (LPCC)
NPI
1760073191
Phone
(763) 581-5372
Address
3366 OAKDALE AVE N STE 315
Enumeration Date
28 January 2021
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2017 (9 years ago)
PAC ID
1052728045
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20240227001017
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for KELSEY WILLIAMSON (LPCC)

  • 3366 OAKDALE AVE N STE 315

    ROBBINSDALE, MN 554222967

    Phone: (763) 581-5372

    Fax: (763) 581-5371

    Type: Mailing

  • 3366 Oakdale Ave N Ste 315

    Robbinsdale, MN 554222967

    Phone: (763) 581-5372

    Fax: (763) 581-5371

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 14000 FAIRVIEW DR

    BURNSVILLE, MN 553375713

    Phone: (952) 993-8700

    Type: Location

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: 2024-02-27

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
I20240227001017IMental 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 55422)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What identifier follows KELSEY WILLIAMSON (LPCC) across health systems?
The NPI 1760073191 uniquely identifies KELSEY WILLIAMSON (LPCC) in U.S. healthcare data.
Quick check: is KELSEY WILLIAMSON (LPCC) active?
Public NPPES data shows KELSEY WILLIAMSON (LPCC) with an active NPI status right now.
What services align with KELSEY WILLIAMSON (LPCC)'s listing?
KELSEY WILLIAMSON (LPCC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to KELSEY WILLIAMSON (LPCC)?
KELSEY WILLIAMSON (LPCC) shows a connection to Robbinsdale, Minnesota in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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