Kathleen Jo Penn, LPCC
Mental Health Counselor · White Bear Lake, MN
Kathleen Jo Penn, LPCC is a mental health counselor with a practice address in White Bear Lake, Minnesota, and NPI 1215787338, issued on Mar 22, 2024. Check the license (Minnesota CC04005, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kathleen Jo Penn
- Credential
- LPCC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- CC04005 MN
Self-reported in NPPES; status is on the state search - Practice location
- 4710 White Bear Pkwy, White Bear Lake, MN 55110
- Phone
- (651) 443-9290
- Enumerated
- Mar 22, 2024
- Record last updated
- Mar 22, 2024
- Medicare enrollment
- Enrolled (PECOS I20260410002046); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,133 in Minnesota → Look up another NPI →
Verify Kathleen Jo Penn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license CC04005Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Applied Care Services IncRichfield, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kathleen Jo Penn among 4,133 mental health counselor records in Minnesota
Kathleen Jo Penn, LPCC is one of 4,133 mental health counselor records with a practice address in Minnesota. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 76% of them.
- NPI issued2024 · 76% of these records are older, 15% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2018 · median 2017 among the 852 with a school on file
- Record last updated2024 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
27 mental health counselor records list a practice address in White Bear Lake
They are 27 of the 547 NPPES records with a practice address in White Bear Lake, and 4,133 mental health counselor records in Minnesota.
All 4,133 in Minnesota → Every provider in White Bear Lake → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Kristina AndersonWhite Bear Lake, MN 551101467916155
- Rebecca BlaedeWhite Bear Lake, MN 551101639444284
- Andrew Braum, MA LPCCWhite Bear Lake, MN 551101447700984
- Charles Bulman, LADC, LPCCWhite Bear Lake, MN 551101205252558
- Kelly Ciapetta, LPCCWhite Bear Lake, MN 551101417424185
- Stacey Feig, LPPWhite Bear Lake, MN 551101144494824
- Karin Lyon, MA, LPCWhite Bear Lake, MN 551101518317601
- Chester Mulholland, LPCCWhite Bear Lake, MN 551101124476965
Common questions
What is Kathleen Jo Penn, LPCC's NPI number?
Kathleen Jo Penn, LPCC's National Provider Identifier (NPI) is 1215787338, issued on Mar 22, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kathleen Jo Penn, LPCC located?
The NPPES record lists a practice address at 4710 White Bear Pkwy, White Bear Lake, MN, 55110. Phone: (651) 443-9290. Providers update this record themselves, so call before visiting.
How can I verify Kathleen Jo Penn, LPCC's license?
NPPES lists Minnesota license number CC04005, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.