Individual provider Active NPI

Katie Marie Kleinschmidt, M.S., L.M.F.T

  • Marriage & Family Therapist
  • Mankato, MN
National Provider Identifier
1053758821
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2707 Issued in MN
Practice address
103 N Broad St
Mankato, MN 56001-3519
Phone
(507) 387-3777
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2707 MN Primary

Addresses

Primary practice location

103 N Broad St
Mankato, MN 56001-3519

Mailing address

103 N Broad St
Mankato, MN 56001-3519
Phone (507) 387-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000429 MN Practitioner - Marriage and Family Therapist 7214371772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Collaborative of MankatoGroup PAC ID 4688018138, 6 clinicians

Practice addresses (Care Compare)

3 Civic Ctr PLZ
Suite 300
Mankato, MN 56001-7790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Collaborative of Mankato Marriage & Family Therapist CurrentSince Mar 1, 2024 Accepting new patients
Five Rivers Mental Health LLC PastSince Aug 21, 2017 Accepting new patients
Adult, Child & Family Services, LLC PastSince Jul 14, 2003 Accepting new patients

Locations

1101 N Riverfront Dr
Mankato, MN 56001
Phone (507) 837-0429

3 Civic Center Plz
Ste 300
Mankato, MN 56001
Phone (507) 901-1033

Organizations & group practices 3

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1053758821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013519",
            "telephone_number": "507-387-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013519",
            "telephone_number": "507-387-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSCHMIDT",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S., L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.