Mark Andre Dupont, MA LP LADC
NPI 1003932518ActiveIndividual· Psychologist· Thief River Falls, MN
Psychologist (MA LP LADC) in Thief River Falls, Minnesota, licensed in MN, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1003932518 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA LP LADC |
| Sole proprietor | No |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | May 18, 2024 |
| Certified by provider | May 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP1455 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 301178 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (MN) |
|---|
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