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1174039887 NPI number — KRISTEN ELIZABETH RACHEL DOUCETTE MA, LPCC

NPI Number: 1174039887
Health Care Provider/Practitioner: KRISTEN ELIZABETH RACHEL DOUCETTE MA, LPCC

Information about “1174039887” NPI (KRISTEN ELIZABETH RACHEL DOUCETTE MA, LPCC) exists in 1174039887 in HTML format HTML  |  1174039887 in plain Text format TXT  |  1174039887 in PDF (Portable Document Format) PDF  |  1174039887 in an XML format XML  formats.

NPI Number : 1174039887 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174039887",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOUCETTE",
    "FirstName": "KRISTEN",
    "MiddleName": "ELIZABETH RACHEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAYASHI",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": "ELIZABETH RACHEL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "219 SE MAIN ST STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55414-2151",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-886-2524",
    "MailingAddressFaxNumber": "612-886-2538",
    "FirstLinePracticeLocationAddress": "219 SE MAIN ST STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNEAPOLIS",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55414-2151",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-886-2524",
    "PracticeLocationAddressFaxNumber": "612-886-2538",
    "EnumerationDate": "12/18/2017",
    "LastUpdateDate": "09/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "1677",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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