COLEEN RAE KITTLESON LPC, NCC
NPI 1073750295
Counselor - Professional in Elm Grove, WI
About Coleen Rae Kittleson Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLEEN RAE KITTLESON LPC, NCC (NPI 1073750295) is an individual professional provider in Elm Grove, Wisconsin, licensed in Wisconsin (1407-125) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Coleen Rae Kittleson Lpc, Ncc 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 Reassignment
Medicare enrollment records show Coleen Kittleson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 44 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELM GROVE, WI 53122
ELM GROVE, WI 53122
ELM GROVE, WI 53122
ELM GROVE, WI 53122
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 Coleen Kittleson's NPI number?
The NPI number for Coleen Kittleson is 1073750295. It was assigned to this individual provider in the NPPES registry on January 9, 2009.
Where is Coleen Kittleson located?
Coleen Kittleson practices at 12970 W Bluemound Rd 308, Elm Grove, WI 53122. The listed phone number is (262) 780-1020.
What is Coleen Kittleson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Coleen Kittleson enrolled in Medicare?
Yes. Coleen Kittleson 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 organization bills Medicare for Coleen Kittleson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coleen Kittleson reassigns Medicare benefits to Collaborative Counseling LLC (Maple Grove, MN). The 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 Coleen Kittleson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Coleen Kittleson accept?
Health plans from HealthPartners list Coleen Kittleson 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 Coleen Kittleson was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Coleen Rae Kittleson, LPC, NCC · NPI 1073750295
Professional provider in Elm Grove, Wisconsin. Individual provider, active in the CMS NPPES registry since January 9, 2009.
## Identity
- **NPI:** 1073750295 (Entity type: Individual)
- **Enumerated:** January 9, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1407-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12970 W BLUEMOUND RD, 308, Elm Grove, WI 53122-2607
- **Phone:** (262) 780-1020 · **Fax:** (262) 780-1022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Collaborative Counseling LLC (NPI 1598034324, Maple Grove, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 5, 2019
- **Other identifiers:** Medicaid 10001649 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073750295) · Data from the CMS NPPES public registry.