Pinecone Family Counseling, PA
Psychologist in Sartell, MN. Organization (NPI-2).
NPI number1104094457
StatusActive
Last updated in NPPESSep 8, 2017
Details
- NPI
- 1104094457
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinecone Family Counseling, PA
- Organization subpart
- No
- Enumeration date
- Feb 20, 2008
- Last updated
- Sep 8, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP3278 | MN | Yes |
Practice location
2385 Troop Dr.Suite 202
Sartell, MN 56377
Phone 320-253-2385 · Fax 320-253-2386
Mailing address
2385 Troop Dr.Suite 202
Sartell, MN 56377
Phone 320-253-2385 · Fax 320-253-2386
Authorized official
Dorothy Therese Soukup
Psychologist/Owner
3202532385
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