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

Kristin Southworth

Individual provider Mental Health Counselor · NPI 1962040469

Kristin Southworth is a Mental Health Counselor in Plymouth, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019

Practice location Address checks out

18205 45th Ave N Ste C
Plymouth, MN 55446-4594
Phone: (651) 478-4099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2724 University Ave Se, Minneapolis, MN 55414-3210 — (612) 299-1090

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2296 (MN)

Record details

NPI number1962040469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

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