Macushla Colleen Kelly
Counselor - Professional • Mound, MN
Professional Overview & Biography Verified Profile Summary
Macushla Kelly is a registered healthcare professional specializing in Counselor - Professional in Mound, MN. Practice services are available at 4895 EDGEWATER DR under active NPI credentials.
Practice Location & Contact Primary Location
4895 Edgewater Dr
Mound, MN 553642005
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Mound, MN
Practicing in Mound, MN (2422 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-09-03NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 4895 EDGEWATER DR, MOUND, MN 553642005 (Tel: 6123084309)
Registered at 4895 EDGEWATER DR, MOUND, MN 553642005
Recorded as MACUSHLA KELLY
Counselor (License #CC00446 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4895 Edgewater Dr
Mound, MN 553642005
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