MRS. KRISTIN G EDELBLUTE LPC, NCC
NPI 1396392148
Counselor - Professional in Starkville, MS

Active since August 26, 2019Opted out of Medicare · through Mar 5, 2028
205 S LAFAYETTE ST, STARKVILLE, MS 39759(662) 323-5588(662) 323-5552 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristin G Edelblute Lpc, Ncc NPPES

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

MRS. KRISTIN G EDELBLUTE LPC, NCC (NPI 1396392148) is an individual professional provider in Starkville, Mississippi, licensed in Mississippi (0985) and active in the NPI registry since August 2019. She has opted out of Medicare through March 5, 2028.

NPPES Registry Identity

NPI1396392148
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KRISTIN G EDELBLUTECredential: LPC, NCC
Location Address205 S LAFAYETTE STStarkville, MS 39759-3209
Mailing Address205 S Lafayette StStarkville, MS 39759-3209 · (662) 323-5588 · Fax (662) 323-5552
Fax(662) 323-5552
Sole ProprietorYes
Enumeration DateAugust 26, 2019
NPI 1396392148 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 MS · 0985
205 S LAFAYETTE ST, Starkville, MS 39759

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kristin G Edelblute Lpc, Ncc 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 5, 2024 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2024
Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
205 S LAFAYETTE ST
STARKVILLE, MS 39759
Counselor (Professional)
205 S LAFAYETTE ST
STARKVILLE, MS 39759

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 Kristin Edelblute's NPI number?

The NPI number for Kristin Edelblute is 1396392148. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Kristin Edelblute located?

Kristin Edelblute practices at 205 S Lafayette St, Starkville, MS 39759. The listed phone number is (662) 323-5588.

What is Kristin Edelblute's specialty?

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

Is Kristin Edelblute enrolled in Medicare?

No. Kristin Edelblute has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristin Edelblute was last updated on August 26, 2019. 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.