Individual provider Active NPI

Katrina Mahan, LPC

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1205592201
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1324 W Clairemont Ave Ste 6
Eau Claire, WI 54701-6191
Phone
(715) 506-5150
Fax
(715) 200-5896
NPI assigned
Nov 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 Primary

Addresses

Primary practice location

1324 W Clairemont Ave Ste 6
Eau Claire, WI 54701-6191

Mailing address

1324 W Clairemont Ave Ste 6
Eau Claire, WI 54701-6191
Phone (715) 506-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240301001567 WI Practitioner - Mental Health Counselor 7113362013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Growth Counseling, LLC Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Collaborative Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

12918 63rd Ave N
Maple Grove, MN 55369
Phone (952) 999-1959

3610 Oakwood Mall Dr
Ste 203
Eau Claire, WI 54701

2125 Heights Dr
Ste 1B
Eau Claire, WI 54701
Phone (715) 513-6040

1324 W Clairemont Ave
Ste 6
Eau Claire, WI 54701
Phone (715) 506-5150

2115 E Clairemont Ave
Ste 2
Eau Claire, WI 54701
Phone (507) 993-0437

901 4th St
Hudson, WI 54016
Phone (651) 492-8498

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1205592201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W CLAIREMONT AVE STE 6",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016191",
            "telephone_number": "715-506-5150",
            "fax_number": "715-200-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W CLAIREMONT AVE STE 6",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016191",
            "telephone_number": "715-506-5150",
            "fax_number": "715-200-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "KATRINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.