Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083143655 Individual Practitioner Male Practitioner

Kellan Vencil

Counselor - Professional • Andover, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellan Vencil is a certified Counselor - Professional practicing in Andover, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Kellan Vencil delivers high-quality medical care to the local community at 1875 STATION PKWY NW.

Kellan Vencil is affiliated with Rum River Counseling, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1875 Station Pkwy Nw

Andover, MN 553043319

Telephone 7634829598
Associated Practice Facility / Clinic
🏢 Rum River Counseling, Inc. Facility NPI 1073578472

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Andover, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -5.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Andover, MN (2422 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vencil (8 Years) 8 Yrs
Andover Specialty Average (13.5 Years) 13.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-07-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC02700

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License NE P-1400

Definition to come...

Hospital & Practice Group Affiliations

Rum River Counseling, Inc

1875 Station Pkwy Nw, Andover, MN 553044259

Phone: 7634829598

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lauren Keating , LADC

Counselor - Mental Health

NPI 1013512698

Licensed Alcohol and Drug Counselor

Sophia Pimsler

Marriage & Family Therapist

NPI 1073082897
Brooke Fleming , MS, LMFT

Counselor - Mental Health

NPI 1073769667

Master of Science, Licensed Marriage and Family Therapist

Rondilienne Chastanet , MS, LMFT

Marriage & Family Therapist

NPI 1073916417

Master of Science, Licensed Marriage and Family Therapist

Amanda Hohag , MS

Counselor - Professional

NPI 1114246139

Master of Science

Brian Moore , LPCC

Counselor - Mental Health

NPI 1124541933

Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 13, 2021

Registered at 1875 STATION PKWY NW, ANDOVER, MN 553043319 (Tel: 7634829598)

📍
Updated Business Mailing Address December 13, 2021

Registered at 1875 STATION PKWY NW, ANDOVER, MN 553043319 (Tel: 7634829598)

NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2017

Registered at 1941 S 42ND ST STE 328, OMAHA, NE 681052943 (Tel: 4026148444)

📍
Updated Business Mailing Address June 07, 2017

Registered at 111 S 49TH AVE APT 204, OMAHA, NE 681323533 (Tel: 7203947922)

👤
Provider Name / Credentials Updated June 07, 2017

Recorded as KELLAN VENCIL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Counselor (License #P-1400 in NE)

🟢
Initial NPI Registration & Enumeration June 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kellan Vencil. Be the first to share your experience!

Sign in to leave a review for Kellan Vencil

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083143655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2017
Last Update: July 15, 2022
Sole Proprietor: No

Mailing Address

1875 Station Pkwy Nw

Andover, MN 553043319

Phone: 7634829598

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.