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

MS. Kathleen Jo Penn, LPCC

Individual provider Mental Health Counselor · NPI 1215787338

MS. Kathleen Jo Penn, LPCC is a Mental Health Counselor in White Bear Lake, Minnesota. Qualified in 2018, 8 years ago. Practices with Applied Care Services Inc, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2024
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

4710 White Bear Pkwy
White Bear Lake, MN 55110-3485
Phone: (651) 443-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5625 138th St N, Hugo, MN 55038-8200 — (651) 387-6244

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC04005 (MN)

Record details

NPI number1215787338
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Applied Care Services Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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