Active NPI
Katelyn Hillerud, BS
- Mental Health Counselor
- Mankato, MN
National Provider Identifier
1053047159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1400 Madison Ave Ste 322
Mankato, MN 56001-5465 - Phone
- (507) 702-3030
- NPI assigned
- Jul 29, 2022
- Last updated
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Blue Couch | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mankato, MN
- NPI 1780335505
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.