CARLYE KUSSARD NPI 1689185746

NPI Information

  • NPI: 1689185746
  • Provider Name: CARLYE KUSSARD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1145 GRAND AVE
    SAINT PAUL, MN
    ZIP 55105
  • Phone: (612) 257-2391

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NPI Details

Carlye Kussard is an addiction (substance use disorder) counselor in Saint Paul, MN. Carlye Kussard NPI is 1689185746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1145 GRAND AVE
SAINT PAUL, MN
ZIP 55105-629
Phone: (612) 257-2391

The enumeration date for this NPI number is 10/17/2017 and was last updated on 10/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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