Kathryn Dunleavy, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00079 Issued in MN

Practice address

245 Clifton Ave
Minneapolis, MN 55403-3467

Phone

(612) 870-3787

Fax

(612) 870-3789

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Panos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• People Incorporated

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1982722021
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1356750509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 GENESEE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248418",
            "telephone_number": "952-334-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CLIFTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033467",
            "telephone_number": "612-870-3787",
            "fax_number": "612-870-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1784 LaCrosse Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551194808",
            "country_code": "US",
            "telephone_number": "651-645-9424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "KATHRYN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PANOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Matthew Dunitz, M.D.
• Paul Dunkirk-Greenbaum
• Alexa Dunlap
• Allyson Dunlap
• Amy Felten Dunlap
• Stephen Jared Dunlop, MD
• Alaina Maree Dunn
• Daniel Hugh Dunn, M.D.
• Hannah Jane Dunn
• Mary Dunn, REGISTERED NURSE

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.