Mrs Karissa Marie Kautzman, LPCC in Mandan, ND

Mrs Karissa Marie Kautzman, LPCC is a medicare enrolled "Counselor - Professional" provider in Mandan, North Dakota. Her current practice location is 2401 46th Ave Se Ste 102, Mandan, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 595-3626.

Mrs Karissa Marie Kautzman is licensed to practice in North Dakota (license number 1204-6-15-22A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578975173.

Contact Information

	Mrs Karissa Marie Kautzman, LPCC
	2401 46th Ave Se Ste 102, Mandan, ND 58554-4829
	(701) 595-3626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Karissa Marie Kautzman
Gender	Female
Speciality	Counselor - Professional
Location	2401 46th Ave Se Ste 102, Mandan, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578975173
Provider Enumeration Date: 05/30/2014
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID: 3870025646
Enrollment ID: I20241017002724

Medical Identifiers

Medical identifiers for Mrs Karissa Marie Kautzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578975173	NPI	-	NPPES
3000	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1727 (North Dakota)	Secondary
101YP2500X	Counselor - Professional	1204-6-15-22A (North Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Karissa Marie Kautzman allows following entities to bill medicare on her behalf.

Entity Name	Decoteau Trauma-informed Care & Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174890016 PECOS PAC ID: 7911258025 Enrollment ID: O20180927002926

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Karissa Marie Kautzman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Karissa Marie Kautzman, LPCC 314 E Thayer Ave Ste 222, Bismarck, ND 58501-4018 Ph: (701) 595-3626	Mrs Karissa Marie Kautzman, LPCC 2401 46th Ave Se Ste 102, Mandan, ND 58554-4829 Ph: (701) 595-3626

Reviews and Comments

Counselor in Mandan, ND

Heather Moser, LMAC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3426 Bay Shore Bnd Se, Mandan, ND 58554 Phone: 701-516-6980
Kathleen Schmaltz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 W Main St, Mandan, ND 58554 Phone: 701-663-2122 Fax: 701-663-7521
Brandon J Gibson, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 102 Mandan Ave, Mandan, ND 58554 Phone: 701-667-5000 Fax: 651-925-0057
Michelle Lee Frei, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 6th Ave Se, Mandan, ND 58554 Phone: 701-663-8228 Fax: 701-663-0912
Darrel G Lindensmith, MA MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3030 Old Red Trail St., Mandan, ND 58554 Phone: 701-391-9131 Fax: 701-663-2763
Jeanne Marie Hettich Farnsworth, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Shady Acres St Ne, Mandan, ND 58554 Phone: 605-281-0528 Fax: 701-255-4495

Mrs Karissa Marie Kautzman, LPCC - Medicare Counselor in Mandan, ND