Wellformed AI

NPI 1659775104 · live from the CMS NPI Registry

Katherine Rose Brown

Counselor, Mental Health in Minneapolis, MN. National Provider Identifier 1659775104, active.

NPI record

NPI1659775104 Type 1 · individual
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location2450 Riverside Ave, Minneapolis, MN 55454
Practice phone763-525-1746
Mailing address985450 Nebraska Medical Ctr, Omaha, NE 68198
EnumeratedOctober 13, 2014
Last updatedMay 5, 2026
Sole proprietorNo
Other namesKatherine Lichtblau

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X10907 (NE)
Behavior Analyst103K00000X11569185-2506 (UT)
Counselor, Mental Health primary101YM0800X4966 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.