Kathryn Hartman Valine, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03834 Issued in MN

Practice address

22501 Jason Ave N
Forest Lake, MN 55025-9160

Phone

(651) 237-7114

Fax

(651) 383-1867

NPI assigned

Jun 8, 2020

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

• Whitestone Wellness LLC

  • Mental Health Counselor
  • Forest Lake, MN
  • NPI 1427815968
  Medicare reassignment NPD Authorized official
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)
• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1881219632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 NEAL AVE N # 226",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822177",
            "telephone_number": "651-237-7114",
            "fax_number": "651-383-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22501 JASON AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259160",
            "telephone_number": "651-237-7114",
            "fax_number": "651-383-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Judd St # 5",
            "address_purpose": "LOCATION",
            "city": "Marine ON Saint Croix",
            "state": "MN",
            "postal_code": "550477527",
            "country_code": "US",
            "telephone_number": "651-237-7114",
            "fax_number": "651-383-1867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALINE",
        "first_name": "KATHRYN",
        "middle_name": "HARTMAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenny Valkos, MSW, LICSW, LADC
• Ellen Van Tassel, MA, CCC-SLP
• Rebecca Varoga, PT, DPT
• Raymond Keith Vellenga, RPH
• David Armin Vetter Jr.

• Mental Health Counselor in Forest Lake, MN
• Providers in Forest Lake, 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 Jan 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.