Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Paige Gullo

Individual provider Mental Health Counselor · NPI 1982776555

Kathleen Paige Gullo is a Mental Health Counselor in Plymouth, Minnesota. Qualified in 1993, 33 years ago. Practices with North Central Ministry Development Center, Inc, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
33
In the registry since
2006
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Practice location Address checks out

12805 Highway 55 Ste 211
Plymouth, MN 55441-3859
Phone: (763) 550-9005
Fax: (763) 559-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1982776555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice North Central Ministry Development Center, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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