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

Kellyn Ann Henke, LPCC

Individual provider Professional Counselor · NPI 1306346614

Kellyn Ann Henke, LPCC is a Mental Health Counselor in Winona, Minnesota. Qualified in 2014, 12 years ago. Practices with Affiliated Clinical Services Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
12
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
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

420 E Sarnia St
Winona, MN 55987-6365
Phone: (507) 454-4341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC01735 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 6692-125 (WI)

Record details

NPI number1306346614
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedFebruary 14, 2018
Last updated in NPPESNovember 19, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Affiliated Clinical Services Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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