KATELYNN MARIE RUTKOWSKI NCC
NPI 1659071660
Counselor - Mental Health in Kingston, TN

Active since March 08, 2023PECOS Enrolled
508 N KENTUCKY ST, KINGSTON, TN 37763(865) 243-7678 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katelynn Marie Rutkowski Ncc NPPES

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

KATELYNN MARIE RUTKOWSKI NCC (NPI 1659071660) is an individual mental health provider in Kingston, Tennessee and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659071660
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYNN MARIE RUTKOWSKICredential: NCC
Location Address508 N KENTUCKY STKingston, TN 37763-2679
Mailing Address508 N Kentucky StKingston, TN 37763-2679 · (865) 243-7678
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1659071660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
508 N KENTUCKY ST, Kingston, TN 37763

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelynn Marie Rutkowski Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325535495
PECOS Enrollment IDI20251013003605
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 Katelynn Rutkowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Hospital
240 W TYRONE RD
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 33 clinicians in this Medicare group

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 3

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

Counselor (Mental Health)
508 N KENTUCKY ST
KINGSTON, TN 37763
Social Worker (Clinical)
508 N KENTUCKY ST
KINGSTON, TN 37763
Clinic/Center (Hearing and Speech)
508 N KENTUCKY ST
KINGSTON, TN 37763

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 Katelynn Rutkowski's NPI number?

The NPI number for Katelynn Rutkowski is 1659071660. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Katelynn Rutkowski located?

Katelynn Rutkowski practices at 508 N Kentucky St, Kingston, TN 37763. The listed phone number is (865) 243-7678.

What is Katelynn Rutkowski's specialty?

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

Is Katelynn Rutkowski enrolled in Medicare?

Yes. Katelynn Rutkowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelynn Rutkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelynn Rutkowski reassigns Medicare benefits to Ridgeview Psychiatric Hospital And Center, Inc. (Oak Ridge, TN). 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 Katelynn Rutkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelynn Rutkowski accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Katelynn Rutkowski 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 Katelynn Rutkowski was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.