WHITE PINE MENTAL HEALTH
NPI 1871392589
Counselor - Mental Health in Houlton, WI

Active since March 13, 2025
1330 39TH ST, HOULTON, WI 54082(612) 219-4048 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About White Pine Mental Health NPPES

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

WHITE PINE MENTAL HEALTH (NPI 1871392589) is a healthcare organization registered as a mental health in Houlton, Wisconsin and active in the NPI registry since March 2025. The organization lists Katrina Jean Rude, Owner, as its authorized official.

NPPES Registry Identity

NPI1871392589
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWHITE PINE MENTAL HEALTH
Location Address1330 39TH STHoulton, WI 54082-1500
Mailing Address1330 39th StHoulton, WI 54082-1500 · (612) 219-4048
Organization SubpartNo
Authorized OfficialKatrina Jean RudeOwner · (612) 219-4048
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1871392589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1330 39TH ST, Houlton, WI 54082

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Pine Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to White Pine Mental Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1891186847
653 GRAND AVE
Saint Paul, MN 55105
(651) 212-4920
✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 White Pine Mental Health's NPI number?

The NPI number for White Pine Mental Health is 1871392589. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is White Pine Mental Health located?

White Pine Mental Health is located at 1330 39th St, Houlton, WI 54082. The listed phone number is (612) 219-4048.

What is White Pine Mental Health's specialty?

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

Is White Pine Mental Health enrolled in Medicare?

Yes. White Pine Mental Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through White Pine Mental Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to White Pine Mental Health. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for White Pine Mental Health was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.