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Active NPI 1659673515 Individual Practitioner Male Practitioner

Kenneth Paul Becker , LADC

Counselor - Professional • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Kenneth Becker, LADC is a registered healthcare professional specializing in Counselor - Professional in Minneapolis, MN. Practice services are available at 4048 LAKELAND AVE N # 22031 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4048 Lakeland Ave N # 22031

Minneapolis, MN 554222236

Telephone 6123258357
Associated Practice Facility / Clinic
🏢 Wellspring Ct Facility NPI 1902358716

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
328 Specialists

Practicing in Minneapolis, MN (2422 Statewide)

Telehealth Adoption Rate
12.5% 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

CMS Verified: 2021-09-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 520

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MN 1035173-1-CDT

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active November 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2010

Registered at 4048 LAKELAND AVE N # 22031, MINNEAPOLIS, MN 554222236 (Tel: 6123258357)

📍
Updated Business Mailing Address November 29, 2010

Registered at 4048 LAKELAND AVE N # 22031, MINNEAPOLIS, MN 554222236 (Tel: 6123258357)

👤
Provider Name / Credentials Updated November 29, 2010

Recorded as KENNETH BECKER, LADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2010

Counselor (License #1035173-1-CDT in MN)

🟢
Initial NPI Registration & Enumeration November 29, 2010

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: 1659673515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2010
Last Update: September 22, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4048 Lakeland Ave N # 22031

Minneapolis, MN 554222236

Phone: 6123258357

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.