Kelly Ciapetta, LPCC in White Bear Lake, MN - Medicare Counselor Provider

Kelly Ciapetta, LPCC is a medicare enrolled "Counselor - Mental Health" provider in White Bear Lake, Minnesota. Her current practice location is 4756 Banning Ave Ste 215, White Bear Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (330) 495-2736.

Kelly Ciapetta is licensed to practice in Minnesota (license number CC01696) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417424185.

Contact Information

	Kelly Ciapetta, LPCC
	4756 Banning Ave Ste 215, White Bear Lake, MN 55110-3206
	(330) 495-2736
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Ciapetta
Gender	Female
Speciality	Counselor - Mental Health
Location	4756 Banning Ave Ste 215, White Bear Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417424185
Provider Enumeration Date: 10/31/2018
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 5092158279
Enrollment ID: I20240205001701

Medical Identifiers

Medical identifiers for Kelly Ciapetta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417424185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	001696 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	CC01696 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ciapetta allows following entities to bill medicare on her behalf.

Entity Name	Wild Tree Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528451408 PECOS PAC ID: 8426408881 Enrollment ID: O20231227001431

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ciapetta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Ciapetta, LPCC 4756 Banning Ave Ste 215, White Bear Lake, MN 55110-3206 Ph: (330) 495-2736	Kelly Ciapetta, LPCC 4756 Banning Ave Ste 215, White Bear Lake, MN 55110-3206 Ph: (330) 495-2736

Reviews and Comments

Counselor in White Bear Lake, MN

Diana Sue Finney, LADC, MA Counselor Medicare: Medicare Enrolled Practice Location: 2179 4th St Ste 2b, White Bear Lake, MN 55110 Phone: 651-705-7872
Kirby Kaczor, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2025 4th St Ste 100, White Bear Lake, MN 55110 Phone: 651-212-4920
Mrs. Tabitha Soderstrom, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3596 Linden Ave, White Bear Lake, MN 55110 Phone: 507-215-2459
Christina Castaneda, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2025 4th St Ste 100, White Bear Lake, MN 55110 Phone: 651-212-4920
Mr. Andrew Clark Hoistad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Gun Club Rd, White Bear Lake, MN 55110 Phone: 612-644-4887
Chester Mulholland, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3596 Linden Ave, White Bear Lake, MN 55110 Phone: 651-243-2484
Julie Blaske, MA LADC LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 Phone: 612-241-6004

Kelly Ciapetta, LPCC - Medicare Counselor in White Bear Lake, MN