Katie Lynn Tyrrell, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC01512 Issued in MN

Practice address

116 Ash Ave NW Ste 2
Wadena, MN 56482-1367

Phone

(218) 632-4300

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Lynn Macrae Former name

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shari Phillips, LLCGroup PAC ID 9537509336, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shari Phillips LLC

  • Mental Health Counselor
  • Wadena, MN
  • NPI 1023691896
  Medicare reassignment Care Compare group NPD
• Fernbrook Family Center, Inc

  • Social Worker
  • Owatonna, MN
  • NPI 1659483915
  Medicare reassignment
• Naturally Connected Counseling LLC

  • Adult Mental Health Clinic/Center
  • Milaca, MN
  • NPI 1245960442
  Medicare reassignment

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1609316355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 2ND ST SW STE 2",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821483",
            "telephone_number": "218-631-1714",
            "fax_number": "218-631-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ASH AVE NW STE 2",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821367",
            "telephone_number": "218-632-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRRELL",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MACRAE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tri-County Hospital
• Tri-County Hospital Pharmacy
• Sara Lynn Truax, MS CCC-SLP
• Courtney Tumberg
• Donald D Twaddle
• Jamie L Udy, FNP
• Thomas P. Van Bruggen, M.D.
• Danelle Mary Vandermay
• Jessica Lee Vanhavermaet, DDS
• Wadena County Social Services

• Mental Health Counselor in Wadena, MN
• Providers in Wadena, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.

Verify at the official NPI Registry.