Kathleen Rose-Penkala Massmann, LPCC AND M,S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

305 Issued in MN

Practice address

1262 Cedar St
Monticello, MN 55362-8913

Phone

(637) 323-3517

Fax

(763) 322-5026

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Moments Counseling LLC

  • Community/Behavioral Health Agency
  • Monticello, MN
  • NPI 1043505373
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1013201847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "763-732-3351",
            "fax_number": "763-322-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "637-323-3517",
            "fax_number": "763-322-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Frontage Rd NW",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "MN",
            "postal_code": "559201606",
            "country_code": "US",
            "telephone_number": "507-405-0011",
            "fax_number": "763-732-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSMANN",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE-PENKALA",
        "name_prefix": "Dr.",
        "credential": "LPCC AND M,S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mahoney, MD
• Maple Lke Recovery Center Inc
• Mark C. Engasser MD PA
• Ellie Marty
• Christine Elizabeth Mason, PSYD, LP
• Brianna Kellee Mattis
• Donald Maus, MD
• Amy McCalla
• Joseph McCrone, CRNA
• Kelley M McGowan, PT

• Mental Health Counselor in Monticello, MN
• Providers in Monticello, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.