KATRINA RUDE MA, LPCC
NPI 1891186847
Counselor - Professional in Saint Paul, MN

Active since February 12, 2015PECOS Enrolled
653 GRAND AVE, SAINT PAUL, MN 55105(651) 212-4920 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2019, Mar 17, 2018, Oct 17, 2017 (3 updates tracked since 2017).

About Katrina Rude Ma, Lpcc NPPES

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

KATRINA RUDE MA, LPCC (NPI 1891186847) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (CC01588) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891186847
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATRINA RUDECredential: MA, LPCC
Location Address653 GRAND AVESaint Paul, MN 55105-3401
Mailing Address4219 Minnehaha AveMinneapolis, MN 55406-3303 · (612) 219-4048
Sole ProprietorNo
Enumeration DateFebruary 12, 2015
Last NPPES UpdateJuly 24, 20193 updates tracked since enumeration
✔ NPI 1891186847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC01588
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
653 GRAND AVE, Saint Paul, MN 55105

Secondary Practice Locations 2

Location 17041 20th AveCenterville, MN 55038-9737 · Phone (651) 407-3631
Location 22970 Judicial Rd Ste 100Burnsville, MN 55337-7822 · Phone (952) 224-8991

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Rude Ma, Lpcc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katrina Rude reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1061 GRAND AVE
Saint Paul, MN 55105
  • Reassigned Medicare billing, Minnesota enrollment
  • 32 clinicians in this Medicare group
Mental Health
1330 39TH ST
Houlton, WI 54082
  • Reassigned Medicare billing, Minnesota enrollment

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 12

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

Marriage & Family Therapist
653 GRAND AVE
SAINT PAUL, MN 55105
Counselor (Mental Health)
653 GRAND AVE
SAINT PAUL, MN 55105
Acupuncturist
653 GRAND AVE
SAINT PAUL, MN 55105
Massage Therapist
653 GRAND AVE
SAINT PAUL, MN 55105
Social Worker (Clinical)
653 GRAND AVE
SAINT PAUL, MN 55105
Counselor (Professional)
653 GRAND AVE
SAINT PAUL, MN 55105
Acupuncturist
653 GRAND AVE
SAINT PAUL, MN 55105
Massage Therapist
653 GRAND AVE
SAINT PAUL, MN 55105

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 Katrina Rude's NPI number?

The NPI number for Katrina Rude is 1891186847. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Where is Katrina Rude located?

Katrina Rude practices at 653 Grand Ave, Saint Paul, MN 55105. The listed phone number is (651) 212-4920.

What is Katrina Rude's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katrina Rude enrolled in Medicare?

Yes. Katrina Rude is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katrina Rude's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Rude reassigns Medicare benefits to 2 organizations: Wild Tree Psychotherapy, LLC (Saint Paul, MN) and White Pine Mental Health (Houlton, WI). Each 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 Katrina Rude'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 Katrina Rude was last updated on July 24, 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.