KATHLEEN DIANE KONGSJORD LPCC
NPI 1013753185
Counselor - Mental Health in Brainerd, MN

Active since July 08, 2024PECOS EnrolledAccepts Medicare Assignment
11600 STATE AVE, BRAINERD, MN 56401(218) 454-8919 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 8, 2024 (2 updates tracked since 2024).

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

NPI1013753185
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN DIANE KONGSJORDCredential: LPCC
Location Address11600 STATE AVEBrainerd, MN 56401-7306
Mailing Address7038 Remington WayBrainerd, MN 56401-6397 · (121) 825-6311
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 8, 2024
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
NPI 1013753185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 4477
11600 STATE AVE, Brainerd, MN 56401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456871532
PECOS Enrollment IDI20250219001988
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Substance Abuse Rehabilitation Facility
11600 STATE AVE
BRAINERD, MN 56401
Psychiatry & Neurology (Psychiatry)
11600 STATE AVE
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.

What insurance does Kathleen Kongsjord accept?

Health plans from HealthPartners list Kathleen Kongsjord as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 23 months 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.