Kathleen Istre, PHD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3914 Issued in MN

Practice address

640 Atlantic Ave
Counseling Associates
Benson, MN 56215-1381

Phone

(320) 843-3454

NPI assigned

Dec 12, 2006

Last updated

Nov 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Swift County Benson Hospital

  dba Counseling Associates

  • Rural Acute Care Hospital
  • Benson, MN
  • NPI 1295872489
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1467513580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 16TH ST NE",
            "address_2": "#2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012156",
            "telephone_number": "320-894-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ATLANTIC AVE",
            "address_2": "COUNSELING ASSOCIATES",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151381",
            "telephone_number": "320-843-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTRE",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP3914",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Chiropractic, P. a. (Henderson Chiropractic)
• Joshua L Henderson, DC
• Anthony James Hilleren, DDS
• Tiana Nicole Holleman, DPT
• Richard R Horecka, MD
• Jacqueline Brigette Julien, PSY.D., L.P.
• Jody Lee Kessler-Gross
• Sharon R. Kluempke, RD
• Adam Robert Kolander, R.PH.
• Claudette M Larson, LICSW

• Clinical Psychologist in Benson, MN
• Providers in Benson, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.