Kathryn Louise Bertz, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00400 Issued in MN

Practice address

4000 W 9TH St
Duluth, MN 55807-1563

Phone

(218) 628-0237

Fax

(218) 628-1347

NPI assigned

Feb 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwood Children'S Home Society Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Duluth, MN
  • NPI 1588720494
  NPD (past)
• Northwood Children'S Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Duluth, MN
  • NPI 1851457758
  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1609149145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W 9TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071563",
            "telephone_number": "218-628-0237",
            "fax_number": "218-628-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W 9TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071563",
            "telephone_number": "218-628-0237",
            "fax_number": "218-628-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTZ",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark G Berry, D.O.
• Jena Kay Berryman Ogston
• Peggy J Bertel, CRNA
• Juliana Francine Bertelsen, L.M.T.
• Shana Marie Bertin, PA-C
• Erin Elizabeth Beste, APRN, CNP
• Bonnie Jean Besvold
• Joseph Bettendorf, M.D.
• Nicoli Franklin Bettin, APRN, CRNA
• Jillene Beuke, PHARMD

• All providers in Duluth, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.