Individual provider Active NPI

Katherine Elizabeth Schober-Ordonez, MS, NCC, LPCC

  • Professional Counselor
  • Plymouth, MN
National Provider Identifier
1932738101
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2458 Issued in MN
Practice address
12800 Industrial Park Blvd Ste 200
Plymouth, MN 55441-3929
Phone
(763) 412-0722
NPI assigned
Apr 8, 2020
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 2458 MN Primary

Addresses

Primary practice location

12800 Industrial Park Blvd Ste 200
Plymouth, MN 55441-3929

Mailing address

12800 Industrial Park Blvd Ste 200
Plymouth, MN 55441-3929
Phone (641) 831-3756

Other names 1

  • Katherine Elizabeth Schober Former name

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
I20240207002348 MN Practitioner - Mental Health Counselor 8224471180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10000 Hwy 55
Suite 300
Minneapolis, MN 55441-6389
Phone (763) 412-0722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2458MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado PC CurrentSince Oct 25, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Oct 25, 2024 Accepting new patients
DBT and Emdr Specialists, P.a. CurrentSince Jan 1, 2024 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

10000 Highway 55
Ste 300
Plymouth, MN 55441
Phone (763) 412-0722

12800 Industrial Park Blvd
Ste 200
Plymouth, MN 55441
Phone (763) 412-0722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1932738101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413929",
            "telephone_number": "641-831-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413929",
            "telephone_number": "763-412-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOBER-ORDONEZ",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MS, NCC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SCHOBER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.