Kerry John Sopoci, PSYD
NPI 1639129539ActiveIndividual· Counselor· Duluth, MN
Counselor (PSYD) with St. Luke's Hospital of Duluth, practicing in Duluth, Minnesota. Medicare paid $15,526 for services to 21 patients in 2024. Lists St Lukes Hospital as a hospital affiliation.
Overview
| NPI | 1639129539 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LP4446 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 191 across 3 procedure codes |
| Paid by Medicare | $15,526 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- St. Luke's Hospital of DuluthDuluth, MN · 405 clinicians
Hospital affiliation
- St Lukes HospitalDuluth, MN
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