Active NPI
White Pine Mental Health
- Mental Health Counselor
- Houlton, WI
National Provider Identifier
1871392589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WHITE PINE MENTAL HEALTH
- Practice address
- 1330 39TH St
Houlton, WI 54082-1500 - Phone
- (612) 219-4048
- NPI assigned
- Mar 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Jean Rude, LPCC
- Title
- Owner
- Phone
- (612) 219-4048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1330 39TH St
Houlton, WI 54082-1500
Mailing address
1330 39TH St
Houlton, WI 54082-1500
Phone (612) 219-4048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1871392589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 39TH ST",
"city": "HOULTON",
"state": "WI",
"postal_code": "540821500",
"telephone_number": "612-219-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 39TH ST",
"city": "HOULTON",
"state": "WI",
"postal_code": "540821500",
"telephone_number": "612-219-4048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE PINE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "RUDE",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-219-4048",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houlton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.