KIMBERLY KEPPEN MA, LPCC
NPI 1801446521
Counselor - Mental Health in Saint Paul, MN

Active since September 14, 2019PECOS EnrolledAccepts Medicare Assignment
2550 UNIVERSITY AVE W STE 163, SAINT PAUL, MN 55114(651) 645-7971(651) 645-7972 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2023, May 5, 2023, Jan 22, 2020 and 1 more (4 updates tracked since 2019).

About Kimberly Keppen Ma, Lpcc NPPES

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

KIMBERLY KEPPEN MA, LPCC (NPI 1801446521) is an individual mental health provider in Saint Paul, Minnesota and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801446521
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY KEPPENCredential: MA, LPCC
Location Address2550 UNIVERSITY AVE W STE 163Saint Paul, MN 55114-1052
Mailing Address1995 W 136th St Apt 421Burnsville, MN 55337-4490 · (612) 283-7615
Fax(651) 645-7972
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2019
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1801446521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2550 UNIVERSITY AVE W STE 163, Saint Paul, MN 55114

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

Kimberly Keppen Ma, 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 ID7416304217
PECOS Enrollment IDI20240702001804
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 Kimberly Keppen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2550 UNIVERSITY AVE W, SUITE 163S
Saint Paul, MN 55114
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
52 services52 patients

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 Kimberly Keppen's NPI number?

The NPI number for Kimberly Keppen is 1801446521. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Where is Kimberly Keppen located?

Kimberly Keppen practices at 2550 University Ave W Ste 163, Saint Paul, MN 55114. The listed phone number is (651) 645-7971.

What is Kimberly Keppen's specialty?

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

Is Kimberly Keppen enrolled in Medicare?

Yes. Kimberly Keppen 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 Kimberly Keppen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Keppen reassigns Medicare benefits to Metro Psychology Support Services, Inc. (Saint Paul, 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 Kimberly Keppen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Keppen was last updated on October 30, 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.