Active NPI
Kristin Rose Rich, LPCC
- Mental Health Counselor
- Duluth, MN
National Provider Identifier
1376132910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4963 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwoods Therapeutic Services | Current | Accepting new patients | |
| Accend Services Incorporated | Past | 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.
-
- Clinical Social Worker
- Cloquet, MN
- NPI 1427866128
-
- Adult Mental Health Clinic/Center
- Duluth, MN
- NPI 1417023458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.