Organization Active NPI

Portside Counseling LLC

  • Marriage & Family Therapist
  • Hutchinson, MN
National Provider Identifier
1023812252
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PORTSIDE COUNSELING LLC
Practice address
340 Michigan St SE
Hutchinson, MN 55350-1908
Phone
(320) 296-5009
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Kaitlin Rooney, LMFTNPI 1518442268
Title
Owner/Therapist
Phone
(320) 296-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

340 Michigan St SE
Hutchinson, MN 55350-1908

Mailing address

19432 Judson Cir
Hutchinson, MN 55350-4337
Phone (320) 296-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021003277 MN Part B Supplier - Clinic/Group Practice 9436647526 Receives reassigned benefits from 1 practitioner
Practice locations: Hutchinson, MN

National Provider Directory

National Provider Directory

Locations

340 Michigan St SE
Hutchinson, MN 55350
Phone (320) 296-5009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1023812252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19432 JUDSON CIR",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553504337",
            "telephone_number": "320-296-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MICHIGAN ST SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501908",
            "telephone_number": "320-296-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "320-296-5009",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.