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

Mary Kelly Kirk-Willenbring, MA, LPCC

Individual provider Professional Counselor · NPI 1649939695

Mary Kelly Kirk-Willenbring, MA, LPCC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2010, 16 years ago. Practices with Catalyst Mental Health, Gbc, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1915 Lyndale Ave S
Minneapolis, MN 55403-3104
Phone: (800) 336-5973
Fax: (612) 234-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 726 2nd St Ne Ste 1, Minneapolis, MN 55413-1649 — (612) 704-0006

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC03021 (MN)

Record details

NPI number1649939695
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedDecember 16, 2021
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Catalyst Mental Health, Gbc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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