Ms Kathleen Jo Penn, LPCC - Counselor in White Bear Lake, MN

Ms Kathleen Jo Penn, LPCC is a Counselor - Mental Health based in White Bear Lake, Minnesota. Ms Kathleen Jo Penn is licensed to practice in Minnesota (license number CC04005) and her current practice location is 4710 White Bear Pkwy, White Bear Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 443-9290.

NPI number for Ms Kathleen Jo Penn is 1215787338 and her current mailing address is 5625 138th St N, Hugo, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215787338.

Contact Information

Ms Kathleen Jo Penn, LPCC
4710 White Bear Pkwy,
White Bear Lake, MN 55110-3485
(651) 443-9290
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Kathleen Jo Penn
GenderFemale
SpecialityCounselor - Mental Health
Location4710 White Bear Pkwy, White Bear Lake, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215787338
  • Provider Enumeration Date: 03/22/2024
  • Last Update Date: 03/22/2024

Medical Identifiers

Medical identifiers for Ms Kathleen Jo Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215787338NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health CC04005 (Minnesota)Primary

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. Ms Kathleen Jo Penn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kathleen Jo Penn, LPCC
5625 138th St N,
Hugo, MN 55038-8200

Ph: (651) 387-6244
Ms Kathleen Jo Penn, LPCC
4710 White Bear Pkwy,
White Bear Lake, MN 55110-3485

Ph: (651) 443-9290

Reviews and Comments


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