1. Home
  2. Directory
  3. Minnesota
  4. Cottage Grove
  5. Counselor
  6. NPI Profile

KAITLYN TITTLE
NPI 1215405840
Counselor - Professional in Cottage Grove, MN

Active since November 13, 2018PECOS Enrolled
6939 PINE ARBOR DR S STE 100, COTTAGE GROVE, MN 55016(651) 313-8080 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2025, Nov 13, 2018 (2 updates tracked since 2018).

About Kaitlyn Tittle NPPES

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

KAITLYN TITTLE (NPI 1215405840) is an individual professional provider in Cottage Grove, Minnesota, licensed in Minnesota (03201) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215405840
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAITLYN TITTLE
Location Address6939 PINE ARBOR DR S STE 100Cottage Grove, MN 55016-4643
Mailing Address6939 Pine Arbor Dr S Ste 100Cottage Grove, MN 55016-4643
Phone(651) 313-8080
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 13, 2018
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1215405840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 03201
6939 PINE ARBOR DR S STE 100, Cottage Grove, MN 55016
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Tittle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395263495
PECOS Enrollment IDI20250513000933
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 Kaitlyn Tittle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
21 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

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 9

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

SARA CATHERINE STENGER LICSW
Social Worker (Clinical)
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 313-8080
SIA KHANG
Marriage & Family Therapist
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 313-8080
ALLISON AFFOLTER
Marriage & Family Therapist
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 313-8080
TARA NELSON MD
Family Medicine
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 326-5800
JENNIFER ELLEN STONINA MSW, LGSW
Social Worker
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (612) 207-2429
HEATHER KAY FEIKEMA LICSW
Social Worker (Clinical)
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 313-8080
DANIELLE JENIFER VETTER LARSON LICSW
Social Worker (Clinical)
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 313-8080
JOY M SMETANKA RD, LD, CDE
Registered Nurse (Diabetes Educator)
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016
Washington County (651) 326-5800

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 Kaitlyn Tittle's NPI number?

The NPI number for Kaitlyn Tittle is 1215405840. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Kaitlyn Tittle located?

Kaitlyn Tittle practices at 6939 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016. The listed phone number is (651) 313-8080.

What is Kaitlyn Tittle's specialty?

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

Is Kaitlyn Tittle enrolled in Medicare?

Yes. Kaitlyn Tittle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Tittle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Tittle reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Kaitlyn Tittle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Tittle accept?

Health plans from HealthPartners list Kaitlyn Tittle 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 Kaitlyn Tittle was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.