KATHERINE RUTHERFORD MCDONNELL LMFT
NPI 1114484706
Marriage & Family Therapist in Saint Paul, MN

Q: What is Katherine Mcdonnell's NPI number?

The NPI number for Katherine Mcdonnell is 1114484706. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Q: What is Katherine Mcdonnell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since March 01, 2019PECOS Enrolled

2303 WYCLIFF ST STE W210, SAINT PAUL, MN 55114(612) 424-0434(877) 905-7069 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Katherine Rutherford Mcdonnell Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE RUTHERFORD MCDONNELL LMFT (NPI 1114484706) is an individual marriage & family therapist in Saint Paul, Minnesota, licensed in Minnesota (3792) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114484706

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKATHERINE RUTHERFORD MCDONNELLCredential: LMFT

Location Address2303 WYCLIFF ST STE W210Saint Paul, MN 55114-1272

Mailing Address2303 Wycliff St Ste W210Saint Paul, MN 55114-1272 · (612) 424-0434 · Fax (877) 905-7069

Phone(612) 424-0434

Fax(877) 905-7069

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 1, 2019

Last NPPES UpdateMarch 23, 2024

NPPES CertifiedMarch 23, 2024

✔ NPI 1114484706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3792

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2303 WYCLIFF ST STE W210, Saint Paul, MN 55114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rutherford Mcdonnell Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022456789

PECOS Enrollment IDI20240401002974

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Mcdonnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Susan Borden Psych

Same address

Psychiatric/Mental Health

2303 WYCLIFF ST STE W210
Saint Paul, MN 55114

Reassigned Medicare billing, Minnesota enrollment
17 clinicians in this Medicare group

NPI 1780313478 (612) 424-0434

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE LYNN SOON STARK MSW, LICSW

Social Worker (Clinical)