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MS. KATHLEEN OLIVIA JANIS M.A., LPCC, EMDR
NPI 1336397835
Counselor - Mental Health in Waubun, MN

Active since September 09, 2008PECOS Enrolled
2647 320TH ST, WAUBUN, MN 56589(218) 209-2434 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2023, Aug 17, 2022 (2 updates tracked since 2022).

About Ms. Kathleen Olivia Janis M.a., Lpcc, Emdr NPPES

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

MS. KATHLEEN OLIVIA JANIS M.A., LPCC, EMDR (NPI 1336397835) is an individual mental health provider in Waubun, Minnesota, licensed in Minnesota (00032) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1336397835
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KATHLEEN OLIVIA JANISCredential: M.A., LPCC, EMDR
Location Address2647 320TH STWaubun, MN 56589-9009
Mailing Address2647 320th StWaubun, MN 56589-9009 · (218) 209-2434
Phone(218) 209-2434
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 9, 2008
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1336397835 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 · 00032
2647 320TH ST, Waubun, MN 56589
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen Olivia Janis M.a., Lpcc, Emdr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234573502
PECOS Enrollment IDI20240215000783
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.

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 Janis's NPI number?

The NPI number for Kathleen Janis is 1336397835. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Kathleen Janis located?

Kathleen Janis practices at 2647 320th St, Waubun, MN 56589. The listed phone number is (218) 209-2434.

What is Kathleen Janis's specialty?

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

Is Kathleen Janis enrolled in Medicare?

Yes. Kathleen Janis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Janis was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.