Dr Jonathan Kodet, PHD,LP is a
Psychologist - Counseling based in Long Lake, Minnesota. Dr Jonathan Kodet is licensed to practice in Minnesota (license number 6186) and his current practice location is
1850 W Wayzata Blvd # 220, Long Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 520-1244.
NPI number for Dr Jonathan Kodet is 1750838181 and his current mailing address is 1850 W Wayzata Blvd # 220, Long Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750838181.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Kodet |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 1850 W Wayzata Blvd # 220, Long Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750838181
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 03/27/2023
Medical Identifiers
Medical identifiers for Dr Jonathan Kodet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750838181 | NPI | - | NPPES |
| 103TC0700X | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 6186 (Minnesota) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6186 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Kodet is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Kodet, PHD,LP
1850 W Wayzata Blvd # 220,
Long Lake, MN 55356-4413
Ph: (612) 520-1244 | Dr Jonathan Kodet, PHD,LP
1850 W Wayzata Blvd # 220,
Long Lake, MN 55356-4413
Ph: (612) 520-1244 |
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