Active NPI
Jacob A. Lacoursiere, LMFT
- Marriage & Family Therapist
- Minnetonka, MN
National Provider Identifier
1528358447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1926
- Practice address
- 3395 Plymouth Rd
Minnetonka, MN 55305-3765 - Phone
- (952) 939-0396
- Fax
- (952) 939-9266
- NPI assigned
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1926 | MN | Primary |
Addresses
Primary practice location
3395 Plymouth Rd
Minnetonka, MN 55305-3765
Mailing address
3395 Plymouth Rd
Minnetonka, MN 55305-3765
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1926 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1528358447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-939-0396",
"fax_number": "952-939-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACOURSIERE",
"first_name": "JACOB",
"middle_name": "A.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
- Laboratory Corporation of America Holdings
- Mark Edmund Lachapelle, MSW
- Rebecca Lachappelle, OTR/L
- Lachlan Behavioral Health and Wellness, LLC
- Emily J Laconic, MSW, LICSW
- Laurel B Laden, MD
- Erika Ladwig, LPCC
- Antoinette Denise Lafrance, FNP-C
- Mary Watzka Lagaard, RN, CNP
- Lake Minnetonka Mobile Wellness, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.