Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KATHLEEN JO PENN LPCC
NPI 1215787338
Counselor - Mental Health in Richfield, MN

Active since March 22, 2024PECOS Enrolled
6600 LYNDALE AVE S STE 110, RICHFIELD, MN 55423(612) 205-5332(612) 416-2067 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Kathleen Jo Penn Lpcc NPPES

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

MS. KATHLEEN JO PENN LPCC (NPI 1215787338) is an individual mental health provider in Richfield, Minnesota, licensed in Minnesota (CC04005) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hugo, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215787338
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KATHLEEN JO PENNCredential: LPCC
Location Address6600 LYNDALE AVE S STE 110Richfield, MN 55423-3398
Mailing Address6600 Lyndale Ave S Ste 110Richfield, MN 55423-3398 · (612) 205-5332 · Fax (612) 416-2067
Fax(612) 416-2067
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2024
Last NPPES UpdateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1215787338 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 · CC04005
6600 LYNDALE AVE S STE 110, Richfield, MN 55423

Secondary Practice Location 1

Location 15625 138th St NHugo, MN 55038-8200 · Phone (651) 387-6244

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

Ms. Kathleen Jo Penn 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 ID3971078510
PECOS Enrollment IDI20260410002046
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 Kathleen Penn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
6600 LYNDALE AVE S STE 110
Richfield, MN 55423
  • Reassigned Medicare billing, Minnesota enrollment
  • 7 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 4

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

Counselor (Mental Health)
6600 LYNDALE AVE S STE 110
RICHFIELD, MN 55423
Community/Behavioral Health
6600 LYNDALE AVE S STE 110
RICHFIELD, MN 55423
Social Worker (Clinical)
6600 LYNDALE AVE S STE 110
RICHFIELD, MN 55423
Social Worker (Clinical)
6600 LYNDALE AVE S STE 110
RICHFIELD, MN 55423

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 Penn's NPI number?

The NPI number for Kathleen Penn is 1215787338. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Kathleen Penn located?

Kathleen Penn practices at 6600 Lyndale Ave S Ste 110, Richfield, MN 55423. The listed phone number is (612) 205-5332.

What is Kathleen Penn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathleen Penn enrolled in Medicare?

Yes. Kathleen Penn 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 Kathleen Penn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Penn reassigns Medicare benefits to Applied Care Services, Inc. (Richfield, 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 Kathleen Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Penn accept?

Health plans from HealthPartners and Medica list Kathleen Penn 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 Penn was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.