Individual provider Active NPI

Dina M Rauker, LP

  • Counseling Psychologist
  • Minneapolis, MN
National Provider Identifier
1306610019
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4701 Issued in MN
Practice address
1800 Girard Ave S
Minneapolis, MN 55403-2943
Phone
(612) 242-5938
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4701 MN Primary

Addresses

Primary practice location

1800 Girard Ave S
Minneapolis, MN 55403-2943

Mailing address

1800 Girard Ave S
Minneapolis, MN 55403-2943
Phone (612) 242-5938

Other practice location 1

516 Mission House Ln
New Brighton, MN 55112-2571
Phone (651) 636-5120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705002524 MN Practitioner - Clinical Psychologist 1052658705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ministry Development Center, Inc.Group PAC ID 7214346345, 7 clinicians

Practice addresses (Care Compare)

516 Mission House LN
New Brighton, MN 55112-2571
Phone (651) 636-5120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4701MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Ministry Development Center, Inc. Counseling CurrentSince Jun 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1306610019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GIRARD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032943",
            "telephone_number": "612-242-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GIRARD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032943",
            "telephone_number": "612-242-5938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Mission House Ln",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551122571",
            "country_code": "US",
            "telephone_number": "651-636-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUKER",
        "first_name": "DINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.