NATHANIEL DAVID KOSTICK
NPI 1689227886
Counselor - Mental Health in New Brighton, MN
About Nathaniel David Kostick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL DAVID KOSTICK (NPI 1689227886) is an individual mental health provider in New Brighton, Minnesota and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Nathaniel David Kostick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nathaniel Kostick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Bear Lake, MN 55110
- Reassigned Medicare billing, Minnesota enrollment
- 10 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW BRIGHTON, MN 55112
NEW BRIGHTON, MN 55112
NEW BRIGHTON, MN 55112
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 Nathaniel Kostick's NPI number?
The NPI number for Nathaniel Kostick is 1689227886. It was assigned to this individual provider in the NPPES registry on July 17, 2019.
Where is Nathaniel Kostick located?
Nathaniel Kostick practices at 1900 Silver Lake Rd NW, New Brighton, MN 55112. The listed phone number is (651) 628-9566.
What is Nathaniel Kostick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nathaniel Kostick enrolled in Medicare?
Yes. Nathaniel Kostick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nathaniel Kostick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Kostick reassigns Medicare benefits to Lake And Valley Family Therapy LLC (White Bear Lake, 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 Nathaniel Kostick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathaniel Kostick accept?
Health plans from HealthPartners list Nathaniel Kostick 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 Nathaniel Kostick was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Nathaniel David Kostick · NPI 1689227886
Mental Health provider in New Brighton, Minnesota. Individual provider, active in the CMS NPPES registry since July 17, 2019.
## Identity
- **NPI:** 1689227886 (Entity type: Individual)
- **Enumerated:** July 17, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 SILVER LAKE RD NW, New Brighton, MN 55112-1786
- **Phone:** (651) 628-9566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lake And Valley Family Therapy LLC (NPI 1578262333, White Bear Lake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1689227886) · Data from the CMS NPPES public registry.