Kirby Kaczor, LPCC
Kirby Kaczor, LPCC is a Counselor in White Bear Lake, MN, registered under NPI 1003679234.
Getting there
Here is what surrounds this office in White Bear Lake, based on OpenStreetMap data collected Oct 14, 2026. Parking is available about 300 ft away. The nearest transit stop is 403 ft away, served by Miller Av. A pharmacy sits 0.32 mi from the entrance (Medicine Chest Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.37 mi away.
Getting here and what is nearby
Transit Bald Eagle Av 127 ft ~1 min
Parking 125 ft ~1 min
Parking 219 ft ~1 min
Transit Bald Eagle Av 238 ft ~1 min
Parking 300 ft ~2 min
Transit Miller Av 403 ft ~2 min
Restaurant Young's 968 ft ~4 min
Coffee Caribou Coffee 1,028 ft ~4 min
4733 Highway 61
Restaurant Subway 0.24 mi ~5 min
2145 4th Street, White Bear Lake 55110
09:00-21:00
Restaurant Don Julio 0.24 mi ~5 min
4660 North Highway 61, 55110
Tu-Sa 11:00-22:00; Su-Mo 11:00-21:00
Coffee The Anchor Coffee House 0.29 mi ~6 min
Pharmacy Medicine Chest Pharmacy 0.32 mi ~7 min
Gas station BP 0.36 mi ~8 min
Coffee Eat! @ Banning and 5th 0.37 mi ~8 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4263 | MN | Counselor primary |
This provider holds licence 4263 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 7911341102
- Enrollment ID
- I20240215001691
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Counselor covers
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NUCC Health Care Provider Taxonomy, code 101Y00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003679234 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 31, 2024 |
| Last updated | Jan 31, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | LPCC |
| Practice address |
2025 4TH ST STE 100 White Bear Lake, MN 55110 (651) 212-4920 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 6 | 7 | 9 | 2 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 3 | 7 | 9 | 2 | 6 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.