Kelli Nowak, MA, LPCC is a
Counselor - Professional based in Gaylord, Minnesota. Kelli Nowak is licensed to practice in Minnesota (license number CC01649) and her current practice location is
716 Sibley Ave, Gaylord, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 237-9989.
NPI number for Kelli Nowak is 1730565144 and her current mailing address is Po Box 393, Gaylord, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730565144.
Healthcare Provider's Profile
| Full Name | Kelli Nowak |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 716 Sibley Ave, Gaylord, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730565144
- Provider Enumeration Date: 08/07/2015
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Kelli Nowak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730565144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | CC01649 (Minnesota) | Primary |
| 101YP2500X | Counselor - Professional | 180.009052 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Nowak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelli Nowak, MA, LPCC
Po Box 393,
Gaylord, MN 55334-0393
Ph: () - | Kelli Nowak, MA, LPCC
716 Sibley Ave,
Gaylord, MN 55334-2386
Ph: (507) 237-9989 |
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