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

Kimberle St Mane, LPCC, LADC

Individual provider Mental Health Counselor · NPI 1619717287

Kimberle St Mane, LPCC, LADC is a Mental Health Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3808 Grand Ave S
Minneapolis, MN 55409-1233
Phone: (612) 237-6311
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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 4419 (MN)

Record details

NPI number1619717287
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LADC
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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