KATHLEEN DIANE KONGSJORD LPCC
NPI 1013753185
Counselor - Mental Health in Brainerd, MN
About Kathleen Diane Kongsjord Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN DIANE KONGSJORD LPCC (NPI 1013753185) is an individual mental health provider in Brainerd, Minnesota, licensed in Minnesota (4477) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Diane Kongsjord Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Kongsjord reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baxter, MN 56425
- Reassigned Medicare billing, Minnesota enrollment
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRAINERD, MN 56401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Kongsjord's NPI number?
The NPI number for Kathleen Kongsjord is 1013753185. It was assigned to this individual provider in the NPPES registry on July 8, 2024.
Where is Kathleen Kongsjord located?
Kathleen Kongsjord practices at 11600 State Ave, Brainerd, MN 56401. The listed phone number is (218) 454-8919.
What is Kathleen Kongsjord's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathleen Kongsjord enrolled in Medicare?
Yes. Kathleen Kongsjord is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kathleen Kongsjord's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Kongsjord reassigns Medicare benefits to 2 organizations: Grow On Purpose Counseling (Baxter, MN) and Lakeview Behavioral Health Inc. (Grand Rapids, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Kongsjord's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Kongsjord was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Diane Kongsjord, LPCC · NPI 1013753185
Mental Health provider in Brainerd, Minnesota. Individual provider, active in the CMS NPPES registry since July 8, 2024.
## Identity
- **NPI:** 1013753185 (Entity type: Individual)
- **Enumerated:** July 8, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 4477 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 11600 STATE AVE, Brainerd, MN 56401-7306
- **Phone:** (218) 454-8919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow On Purpose Counseling (NPI 1790666824, Baxter, MN); Lakeview Behavioral Health Inc. (NPI 1154404325, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013753185) · Data from the CMS NPPES public registry.