Provider Demographics
NPI:1669456885
Name:RAPKING, JOHN E (LMFT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:RAPKING
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 CALEDONIA ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-4329
Mailing Address - Country:US
Mailing Address - Phone:507-625-4884
Mailing Address - Fax:507-625-6311
Practice Address - Street 1:1207 CALEDONIA ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4329
Practice Address - Country:US
Practice Address - Phone:507-625-4884
Practice Address - Fax:507-625-6311
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN965106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN206968700Medicaid
MN50F94RAOtherBC/BS
MN233052305OtherMEDICAUBH
MN141952OtherUCARE