Individual provider Active NPI

Jeanne Therese Hoecker, MS, LP

  • Clinical Psychologist
  • Rochester, MN
National Provider Identifier
1780720367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3994 Issued in MN
Practice address
6602 Zumbro Hyland LN NW
Rochester, MN 55901-8516
Phone
(507) 292-0452
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP3994 MN Primary

Addresses

Primary practice location

6602 Zumbro Hyland LN NW
Rochester, MN 55901-8516

Mailing address

2746 Superior Dr NW
Suite #370
Rochester, MN 55901-8343
Phone (507) 287-0800

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 Science

State licenses

LicenseStateTypeSpecialty
LP3994MNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780720367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 SUPERIOR DR NW",
            "address_2": "SUITE #370",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018343",
            "telephone_number": "507-287-0800",
            "fax_number": "507-287-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 ZUMBRO HYLAND LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018516",
            "telephone_number": "507-292-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOECKER",
        "first_name": "JEANNE",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "MS, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.