TREVOR LECOCQ (NPI# 1134679707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134679707 |
| Entity Type | Individual |
| Full Name | TREVOR LECOCQ |
| Credential | LPCC |
| Practice Address |
4321 Allendale Ave Duluth MN 55803-1562 |
| Practice Telephone | 2187287500 |
| Practice Fax Number | 2187287501 |
| Mailing Telephone | 2187287500 |
| Mailing Fax Number | 2187287501 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC01325 | MN | Behavioral Health & Social Service Providers |
| Street Address |
4321 ALLENDALE AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55803-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467627851 | Dawn R Peterson | Social Worker | 4321 Allendale Ave, Duluth, MN 55803-1562 | 2008-04-25 |
| 1194140467 | Sonja Wildwood | Counselor | 4321 Allendale Ave, Duluth, Duluth, MN 55803-1562 | 2014-02-24 |
| 1699021840 | Dana Marie Stroschein | Social Worker | 4321 Allendale Ave, Duluth, MN 55803-1562 | 2012-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
| 1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
| 1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
| 1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
| 1497894646 | Jeffrey Keith Somrock | Dentist | 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 | 2007-02-05 |
| 1407949167 | The Hills Youth and Family Services | Clinic/Center | 4321 Allendale Avenue, Duluth, MN 55803 | 2006-10-02 |
| 1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
| 1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
| 1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
| Find all providers in zip 55803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121929 | Richard Wallace Klomp | Counselor | 1810 Peachtree Industrial Blvd Ste 231, Duluth, GA 30097-8178 | 2020-07-07 |
| 1942862883 | Sabrina Tollefson | Counselor | 230 E Superior St Ste 202, Duluth, MN 55802-2185 | 2019-07-01 |
| 1265993927 | Bertrina Olivia West | Counselor | 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446 | 2019-03-26 |
| 1740744853 | Eve-lynn R Fellersen | Counselor | 104 W Superior St Ste 200, Duluth, MN 55802-3000 | 2019-01-23 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1669966024 | Adeola Adefowoju | Counselor | 6115 Abbotts Bridge Rd Apt 403, Duluth, GA 30097-5753 | 2018-06-19 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1508319260 | Kristine Kuns | Counselor | 715 E Central Entrance, Duluth, MN 55811-5596 | 2016-07-29 |
| 1972056950 | Lakeesha Harper | Counselor | 420 Autumn Village Ct, Duluth, GA 30096-7583 | 2016-07-26 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.