KATIE LEE KISSNER MS, LPCC
NPI 1194247171
Counselor - Professional in Sartell, MN

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
110 14TH AVE E, SARTELL, MN 56377(320) 202-1400 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2024, Jul 21, 2022, Jul 12, 2017 (3 updates tracked since 2017).

About Katie Lee Kissner Ms, Lpcc NPPES

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

KATIE LEE KISSNER MS, LPCC (NPI 1194247171) is an individual professional provider in Sartell, Minnesota and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194247171
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATIE LEE KISSNERCredential: MS, LPCC
Location Address110 14TH AVE ESartell, MN 56377-4644
Mailing Address617 Oak StBrainerd, MN 56401-3610 · (218) 829-7140 · Fax (218) 829-7142
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 12, 2017
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1194247171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
110 14TH AVE E, Sartell, MN 56377

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

Katie Lee Kissner Ms, 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 ID3476098633
PECOS Enrollment IDI20240711002593
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 Katie Kissner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
617 OAK ST
Brainerd, MN 56401
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 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 10

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

Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377

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 Katie Kissner's NPI number?

The NPI number for Katie Kissner is 1194247171. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Katie Kissner located?

Katie Kissner practices at 110 14th Ave E, Sartell, MN 56377. The listed phone number is (320) 202-1400.

What is Katie Kissner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katie Kissner enrolled in Medicare?

Yes. Katie Kissner 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 Katie Kissner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Kissner reassigns Medicare benefits to Core Professional Services, P.A. (Brainerd, 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 Katie Kissner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Kissner accept?

Health plans from HealthPartners list Katie Kissner 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 Katie Kissner was last updated on June 26, 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.