Dorothy Therese Soukup, PHD LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3278 Issued in MN

Practice address

2385 Troop Drive
Suite 202
Sartell, MN 56377

Phone

(320) 253-2385

Fax

(320) 253-2386

NPI assigned

Sep 27, 2006

Last updated

Oct 16, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Pinecone Family Counseling, PA

  • Psychologist
  • Sartell, MN
  • NPI 1104094457
  Authorized official Same address or phone
• Scott M Yarosh, LLC

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1144543265
  NPD
• Psychotherapeutic Resources LLP

  • Adult Mental Health Clinic/Center
  • Saint Cloud, MN
  • NPI 1619059755
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1497846950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 TROOP DRIVE",
            "address_2": "SUITE 202",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-253-2385",
            "fax_number": "320-253-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 TROOP DRIVE",
            "address_2": "SUITE 202",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-253-2385",
            "fax_number": "320-253-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKUP",
        "first_name": "DOROTHY",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Smith, M.D.
• Kevin L Smith, M.D.
• SMS Health Services, PA (StillPointe Natural Health Center)
• Janelle L Solseth, DPT
• Ramon P Sotto, MD
• Chad F Spaulding, D.C.
• Darrin John Spoden, D.O
• St Cloud Area Surgery Ctr (Center for Outpatient Surgery)
• St. Cloud Hospital (St Cloud Hospital Behavioral Health - Sartell)
• St. Cloud Hospital (St. Benedict's Senior Community - Therapy Suites, Sartell)

• Psychologist in Sartell, MN
• Providers in Sartell, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.