Individual provider Active NPI

Katelin Ann Murphy, MS, LPC, LPCC, ATR

  • Professional Counselor
  • Waconia, MN
National Provider Identifier
1407112675
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2412 Issued in MN
Practice address
712 Vista Blvd # 143
Waconia, MN 55387-4559
Phone
(262) 470-0432
NPI assigned
Apr 2, 2012
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2412 MN Primary

Addresses

Primary practice location

712 Vista Blvd # 143
Waconia, MN 55387-4559

Mailing address

712 Vista Blvd # 143
Waconia, MN 55387-4559
Phone (262) 470-0432

Other identifiers 1

IdentifierTypeStateIssuer
1407112675OtherWINPI TYPE 1

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
Master of Science

State licenses

LicenseStateTypeSpecialty
2412MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katelin Murphy, LPC, Atr, LLC Professional Current Accepting new patients

Locations

712 Vista Blvd
Waconia, MN 55387
Phone (262) 470-0432

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.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1407112675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 VISTA BLVD # 143",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874559",
            "telephone_number": "262-470-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VISTA BLVD # 143",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874559",
            "telephone_number": "262-470-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KATELIN",
        "middle_name": "ANN",
        "credential": "MS, LPC, LPCC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1407112675",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.