Individual provider Active NPI

Katelyn Hillerud, BS

  • Mental Health Counselor
  • Mankato, MN
National Provider Identifier
1053047159
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1400 Madison Ave Ste 322
Mankato, MN 56001-5465
Phone
(507) 702-3030
NPI assigned
Jul 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1400 Madison Ave Ste 322
Mankato, MN 56001-5465

Mailing address

1400 Madison Ave Ste 322
Mankato, MN 56001-5465
Phone (507) 702-3030

Other names 1

  • Katie Hillerud/Nelson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.thebluecouchcounseling.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Couch CurrentSince Jan 15, 2023 Accepting new patients

Locations

1400 Madison Ave
Ste 322
Mankato, MN 56001
Phone (507) 702-3030

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1053047159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 322",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015465",
            "telephone_number": "507-702-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 322",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015465",
            "telephone_number": "507-702-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLERUD",
        "first_name": "KATELYN",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.thebluecouchcounseling.com/",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "address_1": "1400 Madison Ave Ste 322",
            "city": "Mankato",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560015465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HILLERUD/NELSON",
            "credential": "BS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.