Individual provider Active NPI

Penny Christine Kaiser, LICSW

  • Professional Counselor
  • Chaska, MN
National Provider Identifier
1659137065
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
23437 Issued in MN
Practice address
102 E 2ND St Ste 110
Chaska, MN 55318-1906
Phone
(651) 365-8275
Fax
(651) 454-3492
NPI assigned
Feb 23, 2024
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 23437 MN Primary

Addresses

Primary practice location

102 E 2ND St Ste 110
Chaska, MN 55318-1906

Mailing address

1045 Stoughton Ave
Chaska, MN 55318-2149
Phone (952) 658-6378

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004792 MN Practitioner - Mental Health Counselor 5193214302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar RegionalGroup PAC ID 8921346669, 7 clinicians

Practice addresses (Care Compare)

1045 Stoughton Ave
Chaska, MN 55318-2149
Phone 95285639325117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23437MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Regional Current Accepting new patients
Northstar Regional CurrentSince Oct 1, 2025 Accepting new patients
Eagan Counseling Clinic Past Accepting new patients

Locations

1045 Stoughton Ave
Chaska, MN 55318
Phone (952) 448-6557

Organizations & group practices 3

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": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1659137065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 STOUGHTON AVE",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182149",
            "telephone_number": "952-658-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 2ND ST STE 110",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181906",
            "telephone_number": "651-365-8275",
            "fax_number": "651-454-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "PENNY",
        "middle_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "23437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.