Individual provider Active NPI

Katherine Grace Vreeman, MSSW, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1417008095
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4226 Issued in MN
Practice address
6005 Salem Rd SW
Rochester, MN 55902-8825
Phone
(507) 281-3033
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4226 MN Primary

Addresses

Primary practice location

6005 Salem Rd SW
Rochester, MN 55902-8825

Mailing address

6005 Salem Rd SW
Rochester, MN 55902-8825
Phone (507) 281-3033

Other identifiers 8

IdentifierTypeStateIssuer
5211185OtherMNMN TAX ID
68B56MUOtherBHSI INDIVIDUAL PROVIDER
136561OtherU-CARE PRACTICE PROVIDER
68B54MUOtherMNBCBS CONTRACTING PROVIDER
68B56MUOtherMNBCBS INDIVIDUAL PROVIDER
120874OtherMMSI PROVIDER #
68B54MUOtherBHSI AGENCY PROVIDER
150611OtherU-CARE INDIVIDUAL PROVIDE

Other names 1

  • Mrs. Katherine Harries Muellner Professional name

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

State licenses

LicenseStateTypeSpecialty
4226MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine H. Muellner, PLLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417008095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 SALEM RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559028825",
            "telephone_number": "507-281-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 SALEM RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559028825",
            "telephone_number": "507-281-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREEMAN",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "4226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN TAX ID",
            "identifier": "5211185",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSI INDIVIDUAL PROVIDER",
            "identifier": "68B56MU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE PRACTICE PROVIDER",
            "identifier": "136561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CONTRACTING PROVIDER",
            "identifier": "68B54MU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "68B56MU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI PROVIDER #",
            "identifier": "120874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSI AGENCY PROVIDER",
            "identifier": "68B54MU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE INDIVIDUAL PROVIDE",
            "identifier": "150611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MUELLNER",
            "middle_name": "HARRIES",
            "prefix": "MRS.",
            "credential": "MSSW, LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.