Individual provider Active NPI

Denise Lynn Dworakoski, MA, LPC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1740504513
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00384 Issued in MN
Practice address
311 Ramsey St # 205
Saint Paul, MN 55102-2323
Phone
(612) 554-9453
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00384 MN Primary

Addresses

Primary practice location

311 Ramsey St # 205
Saint Paul, MN 55102-2323

Mailing address

383 Grand Ave Apt 2
Saint Paul, MN 55102-2629
Phone (612) 554-9453

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00384MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1740504513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 GRAND AVE APT 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022629",
            "telephone_number": "612-554-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RAMSEY ST # 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022323",
            "telephone_number": "612-554-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORAKOSKI",
        "first_name": "DENISE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00384",
            "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 Mar 22, 2010; 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.