Active NPI
Kathryn Mackenzie Dockter
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1861352882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5264
- 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
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 |
|---|---|---|---|---|
| Mental Health Counselor | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5264 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcend Psychotherapy, PLLC | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.