Bradley Lee Kinder, M.A., L.P., L.M.F.T.
Marriage & Family Therapist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1497892467
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1497892467
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bradley Lee Kinder
- Credential
- M.A., L.P., L.M.F.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2007
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 392 | MN | Yes |
| 103T00000X | Psychologist | 4383 | MN |
Practice location
1895 Laurel AveSuite #203
Saint Paul, MN 55104-5938
Phone 651-647-4944 · Fax 651-646-6176
Mailing address
1895 Laurel AveSuite #203
Saint Paul, MN 55104-5938
Phone 651-647-4944 · Fax 651-646-6176
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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