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KATIE JO SHADRICK MA, LPCC
NPI 1275015786
Counselor - Mental Health in New Ulm, MN

Active since August 30, 2018PECOS EnrolledAccepts Medicare Assignment
1310 S GERMAN ST, NEW ULM, MN 56073(507) 354-2174 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2020, Apr 1, 2019, Aug 30, 2018 (3 updates tracked since 2018).

About Katie Jo Shadrick Ma, Lpcc NPPES

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

KATIE JO SHADRICK MA, LPCC (NPI 1275015786) is an individual mental health provider in New Ulm, Minnesota, licensed in Minnesota (CC01886) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275015786
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATIE JO SHADRICKCredential: MA, LPCC
Location Address1310 S GERMAN STNew Ulm, MN 56073-3478
Mailing Address1310 S German StNew Ulm, MN 56073-3478
Phone(507) 354-2174
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2018
Last NPPES UpdateMarch 30, 20203 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
✔ NPI 1275015786 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 · CC01886
1310 S GERMAN ST, New Ulm, MN 56073
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Secondary Practice Locations 2

Location 111010 Prairie Lakes Dr Ste 350Eden Prairie, MN 55344-3801 · Phone (952) 746-2522
Location 2113 E Hickory StMankato, MN 56001-3630 · Phone (507) 388-8114 · Fax (507) 388-8068

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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 Jo Shadrick Ma, 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 ID2860931037
PECOS Enrollment IDI20240902000010
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 Reassignments

2

Medicare enrollment records show Katie Shadrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Secure Base Counseling Center LLC
64 mi
Psychologist
570 PROFESSIONAL DR
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 38 clinicians in this Medicare group
NPI 1285905885 (507) 301-3412
Grow Healthcare Group PA
1,506 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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

THRIVE BEHAVIORAL NETWORK II, LLC
Community Based Residential Treatment Facility, Mental Illness
1310 S GERMAN ST
NEW ULM, MN 56073
Brown County (507) 354-2174

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 Shadrick's NPI number?

The NPI number for Katie Shadrick is 1275015786. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Katie Shadrick located?

Katie Shadrick practices at 1310 S German St, New Ulm, MN 56073. The listed phone number is (507) 354-2174.

What is Katie Shadrick's specialty?

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

Is Katie Shadrick enrolled in Medicare?

Yes. Katie Shadrick 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 organizations bill Medicare for Katie Shadrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Shadrick reassigns Medicare benefits to 2 organizations: Secure Base Counseling Center LLC (Northfield, MN) and Grow Healthcare Group PA (Miami, FL). Each 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 Shadrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Shadrick accept?

Health plans from HealthPartners and Medica list Katie Shadrick 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 Shadrick was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.