Individual provider Active NPI

Kathryn Mackenzie Dockter

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1861352882
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5264 Issued in MN
Practice address
1409 Willow St Ste 400
Minneapolis, MN 55403-3251
Phone
(612) 356-2821
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5264 MN Primary

Addresses

Primary practice location

1409 Willow St Ste 400
Minneapolis, MN 55403-3251

Mailing address

1409 Willow St Ste 400
Minneapolis, MN 55403-3251
Phone (612) 356-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213002063 MN Practitioner - Mental Health Counselor 2668952235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1409 Willow St
Suite 400
Minneapolis, MN 55403-3251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5264MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend Psychotherapy, PLLC Single Specialty CurrentSince Jan 3, 2026 Accepting new patients

Locations

1409 Willow St
Ste 400
Minneapolis, MN 55403
Phone (612) 445-0225

1422 W Lake St
Ste 314
Minneapolis, MN 55408
Phone 6124450225 ext. 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1861352882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033251",
            "telephone_number": "612-356-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033251",
            "telephone_number": "612-356-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKTER",
        "first_name": "KATHRYN",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "5264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.