Active NPI
Donna Kulakowski, PH.D.
- Counseling Psychologist
- Minneapolis, MN
National Provider Identifier
1144629403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP 2372
- Practice address
- 3108 Hennepin Ave # 1
Minneapolis, MN 55408-2619 - Phone
- (612) 226-2570
- NPI assigned
- Aug 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP 2372 | MN | Primary |
Addresses
Primary practice location
3108 Hennepin Ave # 1
Minneapolis, MN 55408-2619
Mailing address
3108 Hennepin Ave # 1
Minneapolis, MN 55408-2619
Phone (612) 226-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 2372 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1144629403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 HENNEPIN AVE # 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082619",
"telephone_number": "612-226-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 HENNEPIN AVE # 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082619",
"telephone_number": "612-226-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULAKOWSKI",
"first_name": "DONNA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP 2372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.