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Deactivated NPI 1346254893 Deactivated / Inactive NPI Male Practitioner

Kenneth George Reiners , MA

Counselor - Pastoral • Champlin, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Reiners has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2006
NPI Deactivation Date October 16, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Kenneth Reiners, MA was a registered Counselor - Pastoral practicing in Champlin, MN. Throughout an active medical career spanning 19 years, Kenneth Reiners provided care at the practice location at 11330 ROSEMILL LN until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

11330 Rosemill Ln

Champlin, MN 553162660

Telephone 7633232906
Fax 7635761731

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Pastoral in Champlin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Champlin, MN (25 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Pastoral Primary Specialty

NUCC Taxonomy Code: 101YP1600X

State License MN 179

Definition to come...

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 16, 2025

Record deactivated on October 16, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11330 ROSEMILL LN, CHAMPLIN, MN 553162660 (Tel: 7633232906)

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Updated Business Mailing Address July 08, 2007

Registered at 11330 ROSEMILL LN, CHAMPLIN, MN 553162660 (Tel: 7633232906)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH REINERS, M.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #179 in MN)

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Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346254893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 08, 2007
Deactivation Date: October 16, 2025

Mailing Address

11330 Rosemill Ln

Champlin, MN 553162660

Phone: 7633232906

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.