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SHARON R KOUKKARI LLC
NPI 1306170741
Community/Behavioral Health in St Louis Pk, MN

Active since October 01, 2009
5354 PARKDALE DR, SUITE 300, ST LOUIS PK, MN 55416(512) 889-1692(952) 546-1445 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sharon R Koukkari Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARON R KOUKKARI LLC (NPI 1306170741) is a healthcare organization registered as a community/behavioral health in St Louis Pk, Minnesota and active in the NPI registry since October 2009. The organization lists Sharon R Koukkari, President, as its authorized official.

NPPES Registry Identity

NPI1306170741
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHARON R KOUKKARI LLC
Location Address5354 PARKDALE DR, SUITE 300St Louis Pk, MN 55416-1603
Mailing Address19320 81st Pl NMaple Grove, MN 55311-1625 · (612) 889-1692
Phone(512) 889-1692
Fax(952) 546-1445
Organization SubpartNo
Authorized OfficialSharon R KoukkariPresident · (612) 889-1692
Enumeration DateOctober 1, 2009
✔ NPI 1306170741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · LP1444
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5354 PARKDALE DR, St Louis Pk, MN 55416
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANIA VAUPEL
Counselor (Professional)
5354 PARKDALE DR
ST LOUIS PARK, MN 55416
Hennepin County (888) 364-5977
KENNEDY HANEY-GOELZ MS RDN LD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (888) 364-5977
JENNIE LASKOW LPCC
Counselor (Professional)
5354 PARKDALE DR, SUITE 200
ST LOUIS PARK, MN 55416
Hennepin County (651) 645-5323
EMILY JOYCE DAHLE LICSW
Social Worker (Clinical)
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (866) 821-0281
COURTNEY LEE TATE RD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (888) 364-5977
OLIVIA RICELLI MS, RD, LD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (888) 364-5977
ADDISON REIMER MS, RD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (440) 670-6700
MS. CODY L GRANDA M.S., LMFT
Marriage & Family Therapist
5354 PARKDALE DR, SECOND FLOOR
MINNEAPOLIS, MN 55416
Hennepin County (651) 645-5323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharon R Koukkari LLC's NPI number?

The NPI number for Sharon R Koukkari LLC is 1306170741. It was assigned to this organization in the NPPES registry on October 1, 2009.

Where is Sharon R Koukkari LLC located?

Sharon R Koukkari LLC is located at 5354 Parkdale Dr Suite 300, St Louis Pk, MN 55416. The listed phone number is (512) 889-1692.

What is Sharon R Koukkari LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Sharon R Koukkari LLC was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.