MR. KEITH LESLIE DERAAD (CPRP) – Mental Health Counselor, NPI 1063532216

MR. KEITH LESLIE DERAAD (CPRP) is a healthcare provider. based in Bloomington, Minnesota. specializing in Mental Health Counselor. They hold the professional credentials CPRP. The NPI Number for MR. KEITH LESLIE DERAAD (CPRP) is 1063532216

Main info

Male
Sole Proprietor
Name
MR. KEITH LESLIE DERAAD (CPRP)
NPI
1063532216
Phone
(952) 842-8273
Address
3700 W 83RD ST
Enumeration Date
30 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for MR. KEITH LESLIE DERAAD (CPRP)

  • 3700 W 83RD ST

    BLOOMINGTON, MN 554311063

    Phone: (952) 842-8273

    Type: Mailing

  • 1825 CHICAGO AVE

    MINNEAPOLIS, MN 554041939

    Phone: (612) 752-8246

    Fax: (612) 752-8203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 55431)

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Frequently asked questions

How do I look up MR. KEITH LESLIE DERAAD (CPRP) by NPI?
Use NPI 1063532216 when you need to reference MR. KEITH LESLIE DERAAD (CPRP) in forms, claims, or directories.
Is MR. KEITH LESLIE DERAAD (CPRP)'s NPI currently valid?
The extract we use shows MR. KEITH LESLIE DERAAD (CPRP) as active.
What does MR. KEITH LESLIE DERAAD (CPRP) treat or focus on?
Patients typically see MR. KEITH LESLIE DERAAD (CPRP) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MR. KEITH LESLIE DERAAD (CPRP) practice in Minnesota?
You will see Bloomington, Minnesota on file for MR. KEITH LESLIE DERAAD (CPRP) alongside any extra practice locations.
What if Bloomington, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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