Individual provider Active NPI

Katie Marie Marsh, M.A., LPCC

  • Professional Counselor
  • Golden Valley, MN
National Provider Identifier
1780028241
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC001089 Issued in MN
Practice address
1405 Lilac Dr N Ste 113F
Golden Valley, MN 55422-4528
Phone
(920) 737-7961
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 CC001089 MN Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 113F
Golden Valley, MN 55422-4528

Mailing address

6739 Golden Valley Rd
Golden Valley, MN 55427-4618
Phone (920) 737-7961

Other names 1

  • Katie Marie Lewandowski Former 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
Credentials
Doctor of Osteopathy, Master of Arts

State licenses

LicenseStateTypeSpecialty
CC001089MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KML Counseling LLC CurrentSince Aug 23, 2020 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

6739 Golden Valley Rd
Golden Valley, MN 55427
Phone (763) 544-1447

1405 Lilac Dr N
Ste 113F
Golden Valley, MN 55422
Phone (920) 737-7961

Organizations & group practices 2

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1780028241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274618",
            "telephone_number": "920-737-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 113F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224528",
            "telephone_number": "920-737-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC001089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LEWANDOWSKI",
            "middle_name": "MARIE",
            "credential": "MA, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.