Laurie D Koltes, MA, LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4930 Issued in MN

Practice address

409 Dunlap St N
Saint Paul, MN 55104-4201

Phone

(651) 290-9200

Fax

(651) 290-9210

NPI assigned

Dec 7, 2005

Last updated

Jan 17, 2018By 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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1548245186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 DUNLAP ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044201",
            "telephone_number": "651-290-9200",
            "fax_number": "651-290-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DUNLAP ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044201",
            "telephone_number": "651-290-9200",
            "fax_number": "651-290-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTES",
        "first_name": "LAURIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MA, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Jon Kollar, D.C.
• Patrick Thomas Koller
• Whitney Koller
• Nikhil Kolluri, MD
• Rosemarie Ann Kolman-Stich, LICSW
• Craig M Kompelien, CRNA
• Rohee Njell-Tepe Konde
• Laticia Kondrasuk, CRNA
• Tou Su Taylor Kong
• Mary B Koolmo, APRN, CNP

• Counseling Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.