Denise M Duke, ED.D., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3533 Issued in MN

Practice address

3101 8TH St S
Moorhead, MN 56560-5062

Phone

(701) 241-9281

Fax

(701) 298-8321

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1487731014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605062",
            "telephone_number": "701-241-9281",
            "fax_number": "701-298-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605062",
            "telephone_number": "701-241-9281",
            "fax_number": "701-298-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ED.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889948700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453233",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drake Counseling Services, Inc.
• Mary Kathleen Drake, AUD CCCA
• Sarah Drusch
• Sara Dukart, APRN
• Bill J Duke
• Kristin Hannah Dukek
• Jacquelyn Dulka, MOT, OTR/L
• Troy Duncan, MSW
• Faith Durham
• Kya Duttenhefer

• All providers in Moorhead, MN
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.