Nicole Ladouceur, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1028-9-15-19-472 Issued in ND

Practice address

4575 32ND Ave S Ste 3
Grand Forks, ND 58201-3305

Phone

(701) 740-4200

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1942033329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OAK ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 32ND AVE S STE 3",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013305",
            "telephone_number": "701-740-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADOUCEUR",
        "first_name": "NICOLE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1028-9-15-19-472",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1028-9-15-19-472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L.I.S.T.E.N. Inc
• Glenn Wayne Labine, DDS
• Deborah L Lachance, MD
• Nancy K Lacina, PT
• Lacy M. Suby, PLLC
• Sabrienna Ladouceur, LSW, LBSW, LADC
• Melissa Marie Laducer-Speers, QSP
• Jennifer Lynn Laframboise, FNP
• Julie Lagodinski-Christian, O.D.
• Lori Lynn Lahaise, M.S. CCC-SLP

• Professional Counselor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.

Verify at the official NPI Registry.