MRS. KATHLEEN ROSE-PENKALA MASSMANN (NPI# 1013201847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013201847 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ROSE-PENKALA MASSMANN |
| Credential | LPCC AND M,S. |
| Practice Address |
9766 Fallon Ave Ne Ste 201 Monticello MN 55362-4589 |
| Mailing Address |
1125 S Cedar Street Suite 112 Monticelo MN 55362 |
| Practice Telephone | 6373233517 |
| Practice Fax Number | 7633225026 |
| Mailing Telephone | 6512089533 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
305 | MN | Behavioral Health & Social Service Providers |
| Street Address |
9766 FALLON AVE NE STE 201 |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362-4589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912409129 | Eric Michael Johnson | Counselor | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2018-03-03 |
| 1740673649 | Danielle Hjelm | Counselor | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362 | 2015-03-17 |
| 1407247299 | Janelle J. Vigil | Marriage & Family Therapist | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2015-02-14 |
| 1033545348 | Regina Cadwallader | Marriage & Family Therapist | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2013-09-18 |
| 1043505373 | Healing Moments Counseling LLC | Community/Behavioral Health | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615299 | William Raleigh Hollon IIi | Counselor | 55 Surrey Hill Rd, Monticello, KY 42633-2320 | 2019-12-03 |
| 1639730955 | Rise Mental Health and Wellness | Counselor | 1215 N Main St Ste 1, Monticello, KY 42633-2900 | 2019-06-26 |
| 1144738816 | Kaylas Place | Counselor | 41 Sheldon Dr, Monticello, NY 12701-4122 | 2018-01-16 |
| 1578079109 | Patsy R Catron | Counselor | 45 Surrey Hill Rd, Monticello, KY 42633-2320 | 2017-12-19 |
| 1194133116 | Jessica Pusc | Counselor | 4300 School Blvd, Suite 107, Monticello, MN 55362-4679 | 2014-07-23 |
| 1629256805 | Johanna Mary Gersten | Counselor | 390 Broadway, Monticello, NY 12701-1157 | 2008-02-10 |
| 1487786539 | Ayd & Cavanagh, LLC | Counselor | 9007 Kagan Ave Ne, Monticello, MN 55362-4535 | 2007-03-12 |
| 1821128422 | Fred Pefferkorn | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2007-03-06 |
| 1306971338 | Joyce Bolin | Counselor | 802 W Columbia Ave, Monticello, KY 42633-1630 | 2007-02-22 |
| 1891898474 | James R F Elliott | Counselor | 128 S Illinois St, Suite B, Monticello, IN 47960-1041 | 2006-09-07 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
Please comment or provide details below to improve the information on MRS. KATHLEEN ROSE-PENKALA MASSMANN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.