Active NPI
Lari Hacker
- Professional Counselor
- Saint Paul, MN
National Provider Identifier
1639244569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00239
- Practice address
- 180 Grotto St S
Saint Paul, MN 55105-3505 - Phone
- (651) 224-1395
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4683 | MN | |
| Professional Counselor | 101YP2500X | 00239 | MN | Primary |
Addresses
Primary practice location
180 Grotto St S
Saint Paul, MN 55105-3505
Mailing address
2512 17TH Ave N
Saint Paul, MN 55109
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 |
|---|---|---|---|
| 00239 | MN | MD | Professional Counselor |
| 4683 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst H. Wilder Foundation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Saint Paul, MN
- NPI 1588730915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1639244569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 17TH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 GROTTO ST S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053505",
"telephone_number": "651-224-1395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKER",
"first_name": "LARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "4683",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.