KATHRYN HARTMAN VALINE MA
NPI 1881219632
Counselor - Mental Health in Forest Lake, MN

Active since June 08, 2020PECOS Enrolled
22501 JASON AVE N, FOREST LAKE, MN 55025(651) 237-7114(651) 383-1867 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Hartman Valine Ma NPPES

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

KATHRYN HARTMAN VALINE MA (NPI 1881219632) is an individual mental health provider in Forest Lake, Minnesota, licensed in Minnesota (CC03834) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marine On Saint Croix.

NPPES Registry Identity

NPI1881219632
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN HARTMAN VALINECredential: MA
Location Address22501 JASON AVE NForest Lake, MN 55025-9160
Mailing Address5865 Neal Ave N # 226Stillwater, MN 55082-2177 · (651) 237-7114 · Fax (651) 383-1867
Fax(651) 383-1867
Sole ProprietorNo
Enumeration DateJune 8, 2020
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1881219632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · CC03834
22501 JASON AVE N, Forest Lake, MN 55025

Secondary Practice Location 1

Location 1101 Judd St # 5Marine ON Saint Croix, MN 55047-7527 · Phone (651) 237-7114 · Fax (651) 383-1867

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Hartman Valine Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
22501 JASON AVE N
FOREST LAKE, MN 55025

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 Kathryn Valine's NPI number?

The NPI number for Kathryn Valine is 1881219632. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Kathryn Valine located?

Kathryn Valine practices at 22501 Jason Ave N, Forest Lake, MN 55025. The listed phone number is (651) 237-7114.

What is Kathryn Valine's specialty?

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

Is Kathryn Valine enrolled in Medicare?

Yes. Kathryn Valine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Valine was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.