TRACEY ROCHELLE KISTNER LMFT
NPI 1306141742
Marriage & Family Therapist in Waconia, MN

Active since January 16, 2011Opted out of Medicare · through Mar 12, 2028
9352 OAK AVE, WACONIA, MN 55387(952) 955-4714 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Rochelle Kistner Lmft NPPES

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

TRACEY ROCHELLE KISTNER LMFT (NPI 1306141742) is an individual marriage & family therapist in Waconia, Minnesota, licensed in Minnesota (1734) and active in the NPI registry since January 2011. She has opted out of Medicare through March 12, 2028.

NPPES Registry Identity

NPI1306141742
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTRACEY ROCHELLE KISTNERCredential: LMFT
Location Address9352 OAK AVEWaconia, MN 55387-9422
Mailing AddressPo Box 111Glencoe, MN 55336-0111 · (952) 807-6534
Sole ProprietorYes
Enumeration DateJanuary 16, 2011
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1306141742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 1734
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
9352 OAK AVE, Waconia, MN 55387

Other Identifiers 1

Medicaid1306141742MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tracey Rochelle Kistner Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2026 through March 12, 2028.

Opt-Out Effective DateMarch 12, 2026
Opt-Out In Effect ThroughMarch 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
9352 OAK AVE
WACONIA, MN 55387
Psychologist (Clinical Child & Adolescent)
9352 OAK AVE
WACONIA, MN 55387
Psychologist (Clinical)
9352 OAK AVE
WACONIA, MN 55387
Psychologist (Clinical)
9352 OAK AVE
WACONIA, MN 55387
Counselor (Professional)
9352 OAK AVE
WACONIA, MN 55387
Social Worker (Clinical)
9352 OAK AVE
WACONIA, MN 55387
Marriage & Family Therapist
9352 OAK AVE
WACONIA, MN 55387
Psychologist
9352 OAK AVE
WACONIA, MN 55387

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 Tracey Kistner's NPI number?

The NPI number for Tracey Kistner is 1306141742. It was assigned to this individual provider in the NPPES registry on January 16, 2011.

Where is Tracey Kistner located?

Tracey Kistner practices at 9352 Oak Ave, Waconia, MN 55387. The listed phone number is (952) 955-4714.

What is Tracey Kistner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tracey Kistner enrolled in Medicare?

No. Tracey Kistner has opted out of Medicare through March 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tracey Kistner accept?

Health plans from HealthPartners list Tracey Kistner 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 Tracey Kistner was last updated on February 28, 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.