Individual provider Active NPI

Isabelle Duguay, MA, LPCC, LCPC

  • Professional Counselor
  • St Louis Park, MN
National Provider Identifier
1326275645
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00150 Issued in MN
Practice address
7515 Wayzata Blvd
Suite 229
St Louis Park, MN 55426-1604
Phone
(612) 850-7973
NPI assigned
Jun 12, 2009
Last updated
May 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00150 MN Primary
Professional Counselor 101YP2500X LPC00773 MN
Professional Counselor 101YP2500X 180006172 IL

Addresses

Primary practice location

7515 Wayzata Blvd
Suite 229
St Louis Park, MN 55426-1604

Mailing address

7515 Wayzata Blvd
Suite 229
St Louis Park, MN 55426-1604
Phone (612) 850-7973

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
180006172ILMDProfessional Counselor
CC00150MNMDProfessional Counselor
LPC00773MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1326275645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 WAYZATA BLVD",
            "address_2": "SUITE 229",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261604",
            "telephone_number": "612-850-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 WAYZATA BLVD",
            "address_2": "SUITE 229",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261604",
            "telephone_number": "612-850-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGUAY",
        "first_name": "ISABELLE",
        "credential": "MA, LPCC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00150",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC00773",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.