Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Kay Kisling, LPCC

Individual provider Mental Health Counselor · NPI 1073800637

Jessica Kay Kisling, LPCC is a Mental Health Counselor in Minnetonka, Minnesota. Qualified in 1998, 28 years ago. Practices with Canvas Health Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2011
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

12601 Ridgedale Dr Social Service Center Level 2
Minnetonka, MN 55305-1911
Phone: (612) 348-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC00337 (MN)

Record details

NPI number1073800637
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJuly 5, 2011
Last updated in NPPESJuly 5, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Canvas Health Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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