Nicole Koukol

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

306157 Issued in MN

Practice address

125 S 5TH St
Le Sueur, MN 56058-1923

Phone

(715) 531-3074

NPI assigned

Jul 22, 2026

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

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1770404097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 5TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560581923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 5TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560581923",
            "telephone_number": "715-531-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUKOL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delora 'Lora' Halverson, LPTA; DOR
• Rebecca Renee Hinderscheid, PSYD, LP
• Independent School District 2397
• Julie Johnson, LPN
• Asma Khalid Butler, MD
• Deborah Latzke, MS, LPCC, LADC
• Le Sueur Assisted Living
• Le Sueur Eyecare Center LLC (Le Sueur Eyecare Center)
• Lesueur Family Dental
• Jaclyn Renee Lieske, COTA

• Addiction (Substance Use Disorder) Counselor in Le Sueur, MN
• Providers in Le Sueur, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.