MS. KATHLEEN JO PENN LPCC
NPI 1215787338
Counselor - Mental Health in White Bear Lake, MN
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 White Bear Lake, 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
Specialties & Licenses
Secondary Practice Location 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
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.
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.
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.
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 4710 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (651) 443-9290.
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 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 March 22, 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.
# Ms. Kathleen Jo Penn, LPCC · NPI 1215787338
Mental Health provider in White Bear Lake, Minnesota. Individual provider, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1215787338 (Entity type: Individual)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CC04005 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4710 WHITE BEAR PKWY, White Bear Lake, MN 55110-3485
- **Phone:** (651) 443-9290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Applied Care Services, Inc. (NPI 1932475647, Richfield, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215787338) · Data from the CMS NPPES public registry.