Individual provider Active NPI

Hannah Klitzke

  • Mental Health Counselor
  • Vadnais Heights, MN
National Provider Identifier
1922801737
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1044 Centerville Cir
Vadnais Heights, MN 55127-6346
Phone
(612) 467-9212
NPI assigned
Mar 28, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1044 Centerville Cir
Vadnais Heights, MN 55127-6346

Mailing address

1044 Centerville Cir
Vadnais Heights, MN 55127-6346

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250722003559 MN Practitioner - Mental Health Counselor 9133635501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metanoia Therapy, PLLC CurrentSince Jul 12, 2025 Accepting new patients

Locations

1044 Centerville Cir
Vadnais Heights, MN 55127
Phone (612) 467-9212

Organizations & group practices 1

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": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1922801737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276346",
            "telephone_number": "612-467-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLITZKE",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.