Kati Klitzke, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5972 Issued in MN

Practice address

45 Washington Ave E
Hutchinson, MN 55350-2574

Phone

(320) 640-2980

Fax

(320) 640-3029

NPI assigned

Dec 17, 2015

Last updated

Feb 18, 2025By the provider in NPPES

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

Other identifiers 1

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

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hutchinson, MN
  • NPI 1457011371
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1750746715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65506 210TH ST",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553555744",
            "telephone_number": "320-640-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WASHINGTON AVE E",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502574",
            "telephone_number": "320-640-2980",
            "fax_number": "320-640-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65506 210th St",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "MN",
            "postal_code": "553555744",
            "country_code": "US",
            "telephone_number": "320-640-2980",
            "fax_number": "320-640-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLITZKE",
        "first_name": "KATI",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750746715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amer H Khan, MD
• Hassan Khidr, MD
• Michael Jeffery Kieke, LICSW
• Danielle King
• Sue Ann Klassen, PTA
• Jammie Kay Klobes, NP-C
• Lacy Kloeckl
• Jessica Mary Knorr, DDS
• Erin Mary Knudtson, MD
• Joshua Robert Knudtson, M.D.

• Clinical Psychologist in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.