Katrina Rude, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01588 Issued in MN

Practice address

653 Grand Ave
Saint Paul, MN 55105-3401

Phone

(651) 212-4920

NPI assigned

Feb 12, 2015

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 and National Provider Directory roles.

• White Pine Mental Health

  • Mental Health Counselor
  • Houlton, WI
  • NPI 1871392589

  MN

  Medicare reassignment NPD Authorized official
• Wild Tree Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1528451408
  Medicare reassignment NPD
• Family Innovations, Inc.

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783

  Professional

  NPD (past)
• Sarah C. Chambers, P.a.

  • Health Service Clinic/Center
  • Saint Paul, MN
  • NPI 1942358379
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1891186847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063303",
            "telephone_number": "612-219-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053401",
            "telephone_number": "651-212-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7041 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "MN",
            "postal_code": "550389737",
            "country_code": "US",
            "telephone_number": "651-407-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2970 Judicial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553377822",
            "country_code": "US",
            "telephone_number": "952-224-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDE",
        "first_name": "KATRINA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Rubright, PSYD, LP
• Ruby Mental Health PLLC
• Carlyn Dekoning Rudberg, PA-C
• Gail M Rudberg, NP
• Kathryn Alexis Rudd, AU.D.
• Tricia Rude, CRNA MS
• Crystal Rudell, DNP
• Julia Rudick, LCSW
• Megan Jo Rudie, RN
• Ehren Rudolph, M.D., PH.D

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.