Individual provider Active NPI

Kristin Rose Rich, LPCC

  • Mental Health Counselor
  • Duluth, MN
National Provider Identifier
1376132910
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2000 W Superior St Ste 204
Duluth, MN 55806-2908
Phone
(218) 409-6632
NPI assigned
Jan 17, 2021
Reactivated
May 20, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4963 MN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2000 W Superior St Ste 204
Duluth, MN 55806-2908

Mailing address

1330 E Superior St Ste 202
Duluth, MN 55805-3929

Other names 1

  • Kristin Rose Malinowski Former name

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
I20250829000972 MN Practitioner - Mental Health Counselor 5092216234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11990 Portland Ave
Burnsville, MN 55337-1516

1771 Big Lake Rd
Cloquet, MN 55720-9704

525 N 40TH Ave W
Duluth, MN 55807-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4963MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Therapeutic Services CurrentSince Jul 1, 2025 Accepting new patients
Accend Services Incorporated PastSince Oct 25, 2021 Accepting new patients

Locations

2000 W Superior St
Ste 203
Duluth, MN 55806
Phone (218) 409-6632

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, 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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1376132910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E SUPERIOR ST STE 202",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558053929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W SUPERIOR ST STE 204",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062908",
            "telephone_number": "218-409-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "KRISTIN",
        "middle_name": "ROSE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "deactivation_date": "2025-04-24",
        "reactivation_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4963",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MALINOWSKI",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.