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KAYLA POLSON MSED, LPCC
NPI 1386002905
Counselor - Professional in Duluth, MN

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment
1406 E 2ND ST, DULUTH, MN 55805(218) 624-5683(218) 624-5736 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2018, Feb 10, 2016 (2 updates tracked since 2016).

About Kayla Polson Msed, Lpcc NPPES

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

KAYLA POLSON MSED, LPCC (NPI 1386002905) is an individual professional provider in Duluth, Minnesota, licensed in Minnesota (1165) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386002905
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAYLA POLSONCredential: MSED, LPCC
Location Address1406 E 2ND STDuluth, MN 55805
Mailing Address1401 E 1st StDuluth, MN 55805-2407 · (218) 728-4491 · Fax (218) 728-4404
Phone(218) 624-5683
Fax(218) 624-5736
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 10, 2016
Last NPPES UpdateJune 12, 20182 updates tracked since enumeration
✔ NPI 1386002905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 1165
1406 E 2ND ST, Duluth, MN 55805
Open in Google Maps ↗

Other Names 1

Former Name (1)Kayla Wilson Msed, Lpcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Kayla Polson Msed, 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 ID8123478591
PECOS Enrollment IDI20231227001940, I20260611002462
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 Kayla Polson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightwater Health Dba Human Development Center
Same address
Mental Health (Including Community Mental Health Center)
1401 E 1ST ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Medicare enrollment name: Human Development Center
  • 69 clinicians in this Medicare group
NPI 1194790733 (218) 728-4491

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 10

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

ALLISON LYNN PIKUL MSW, LICSW
Social Worker (Clinical)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 624-5683
BAILEY M HOMSTAD MSW, LICSW
Social Worker (Clinical)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 624-5683
CELLESTE SCHNELLBACH LAMFT
Marriage & Family Therapist
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 624-5683
HEIDI LOUISE WENDORF DNP, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
MARY CASEY LADD LICSW
Social Worker (Clinical)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 624-5683
TAUSHIA LYNN HENKEL-JOHNSON MS, LPCC
Counselor (Professional)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 624-5683
DR. STEVEN J BAUER MD
Psychiatry & Neurology (Psychiatry)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
KAYLA MAIE O'CONNELL MSED, LPC
Counselor (Mental Health)
1406 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 624-5683

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 Kayla Polson's NPI number?

The NPI number for Kayla Polson is 1386002905. It was assigned to this individual provider in the NPPES registry on February 10, 2016. The provider is also known as Kayla Wilson Msed, Lpcc.

Where is Kayla Polson located?

Kayla Polson practices at 1406 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 624-5683.

What is Kayla Polson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kayla Polson enrolled in Medicare?

Yes. Kayla Polson 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 Kayla Polson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Polson reassigns Medicare benefits to Brightwater Health Dba Human Development Center (Duluth, 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 Kayla Polson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Polson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Sanford Health Plan and Security Health Plan list Kayla Polson 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 Kayla Polson was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.