Individual provider Active NPI

Kateleen Jill Hope Cavett, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Eagan, MN
National Provider Identifier
1447704986
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
301140 Issued in MN
Practice address
1669 Yankee Doodle Rd Apt 218
Eagan, MN 55121-1778
Phone
(651) 227-5987
Fax
(651) 925-0302
NPI assigned
Aug 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 301140 MN Primary

Addresses

Primary practice location

1669 Yankee Doodle Rd Apt 218
Eagan, MN 55121-1778

Mailing address

1669 Yankee Doodle Rd Apt 218
Eagan, MN 55121-1778
Phone (651) 227-5987

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

State licenses

LicenseStateTypeSpecialty
301140MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1447704986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 YANKEE DOODLE RD APT 218",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211778",
            "telephone_number": "651-227-5987",
            "fax_number": "657-925-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 YANKEE DOODLE RD APT 218",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211778",
            "telephone_number": "651-227-5987",
            "fax_number": "651-925-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVETT",
        "first_name": "KATELEEN",
        "middle_name": "JILL HOPE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; 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.