Kirby Kaczor, LPCC
Kirby Kaczor, LPCC is a Mental Health Counselor in White Bear Lake, Minnesota. Qualified in 2021, 5 years ago. Practices with Vantage Mental Health, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 5
- 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.
Practice location Address checks out
2025 4th St Ste 100White Bear Lake, MN 55110-2875
Phone: (651) 212-4920
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4432 Chicago Ave Ste 1, Minneapolis, MN 55407-3521 — (612) 870-2454
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 4263 (MN) |
|---|
Record details
| NPI number | 1003679234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCC |
| Sole proprietor | No |
| NPI enumerated | January 31, 2024 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Vantage Mental Health — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in White Bear Lake
-
Mr. Andrew Clark Hoistad
1245 Gun Club Rd, White Bear Lake, MN 55110-3379 · (612) 644-4887
-
Lyon Counseling LLC
3564 Rolling View Dr Ste D, White Bear Lake, MN 55110-7003 · (612) 314-6956
-
Anna Schulze
4756 Banning Ave Ste 210, White Bear Lake, MN 55110-3206 · (612) 454-1656