Active NPI
Kathryn Lee Hollenhorst, LP
- Clinical Psychologist
- Rochester, MN
National Provider Identifier
1790934123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP3200
- Practice address
- 2118 Campus Dr SE
Rochester, MN 55904-4744 - Phone
- (507) 281-3508
- Fax
- (507) 536-9317
- NPI assigned
- Sep 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP3200 | MN | Primary |
Addresses
Primary practice location
2118 Campus Dr SE
Rochester, MN 55904-4744
Mailing address
1707 Main St
La Crosse, WI 54601-4200
Phone (608) 785-0001
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 |
|---|---|---|---|
| LP3200 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1790934123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014200",
"telephone_number": "608-785-0001",
"fax_number": "608-785-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 CAMPUS DR SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044744",
"telephone_number": "507-281-3508",
"fax_number": "507-536-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENHORST",
"first_name": "KATHRYN",
"middle_name": "LEE",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3200",
"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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.