Kirby Kaczor, LPCC
- Affiliated sites
- 3
- Medical groups
- 3
- State license
- 1
- Year NPI issued
- 2024
- Practice locations
- 2
- Practice address
- 5995 Oren Ave N Ste 203 Suite 203, Oak Park Heights, MN 55082
- Practice phone
- Call (651) 217-1480
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Vantage Mental Health - Oak Park Heights
Behavioral health practice · Oak Park Heights, Minnesota
Find Kirby Kaczor's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kirby Kaczor is a counselor in Saint Paul, Minnesota
Kirby Kaczor practices at Vantage Mental Health - Oak Park Heights in Oak Park Heights, Minnesota.
Kirby Kaczor's NPI, 1003679234, was assigned on January 31, 2024. Kirby Kaczor holds Minnesota license 4263.
- NPI
- 1003679234NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7911341102
- NPI enumeration date
- January 31, 2024
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (651) 217-1480
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Kirby Kaczor practices in Oak Park Heights and Saint Paul
Kirby Kaczor's primary practice is Vantage Mental Health - Oak Park Heights, at 5995 Oren Ave N Ste 203 Suite 203, Oak Park Heights, MN 55082. The practice phone is (651) 217-1480. The NPI Registry lists Kirby Kaczor's practice address as 1061 Grand Ave, Saint Paul, MN 55105.
- Vantage Mental Health - Oak Park HeightsPrimary5995 Oren Ave N Ste 203 Suite 203, Oak Park Heights, MN 55082Phone(651) 217-1480
- NPI Registry address1061 Grand Ave, Saint Paul, MN 55105 · Ramsey County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Kirby Kaczor is affiliated with 3 sites of care and 3 medical groups
Kirby Kaczor's primary practice is Vantage Mental Health - Oak Park Heights in Oak Park Heights, Minnesota. The medical group on file is Wild Tree Psychotherapy. Dmand AI also links Kirby Kaczor to 2 more group practices and clinics and 2 medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Kirby Kaczor's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kirby Kaczor practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Vantage Mental Health - Oak Park Heights | Available with a free account |
| +2 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Kirby Kaczor is one of 109 counselors in Minnesota
Counselor is Kirby Kaczor's primary specialty in the NPI Registry, under taxonomy code 101Y00000X. Kirby Kaczor is licensed in Minnesota.
Specialties and state licenses
- Counselor, MinnesotaPrimary
Counselors near Kirby Kaczor
Counts of counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kirby Kaczor's patients have a median age of 33
Across all payers, Dmand AI patient panel data puts Kirby Kaczor's median patient age at 33, with 75% women.
Kirby Kaczor's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 33
Patient panel by sex, all payers
- Women75%
- Men25%
Source: Dmand AI Patient Panel Data
How Kirby Kaczor takes part in Medicare
Kirby Kaczor accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Kirby Kaczor's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kirby Kaczor
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kirby Kaczor's NPI number?
Kirby Kaczor's NPI number is 1003679234. It was assigned on January 31, 2024, and it is active in the NPI Registry.
What does Kirby Kaczor specialize in?
Kirby Kaczor is a counselor in Saint Paul, Minnesota. The primary specialty in the NPI Registry is Counselor (taxonomy code 101Y00000X).
Where does Kirby Kaczor practice?
Kirby Kaczor practices at 5995 Oren Ave N Ste 203 Suite 203, Oak Park Heights, MN 55082. Kirby Kaczor also practices at 1061 Grand Ave, Saint Paul, MN 55105. Kirby Kaczor's primary practice is Vantage Mental Health - Oak Park Heights in Oak Park Heights, Minnesota. Dmand AI also links Kirby Kaczor to 2 group practices and clinics and 2 medical groups.
What is Kirby Kaczor's office phone number?
The practice phone on file for Kirby Kaczor is (651) 217-1480.
What is Kirby Kaczor's medical license number?
Kirby Kaczor holds Minnesota license 4263.
What medical group is Kirby Kaczor part of?
Kirby Kaczor is linked to Wild Tree Psychotherapy. Dmand AI links Kirby Kaczor to 2 more medical groups.
Does Kirby Kaczor accept Medicare?
Yes. CMS lists Kirby Kaczor as accepting Medicare assignment.
How long has Kirby Kaczor been practicing?
Kirby Kaczor graduated from medical school in 2021, 5 years ago.
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