JUSTINE WELCH MASTIN (NPI# 1023564093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023564093 |
| Entity Type | Individual |
| Full Name | JUSTINE WELCH MASTIN |
| Other Name | JUSTINE MALKE WELCH |
| Credential | LMFT, LADC |
| Practice Address |
6640 Lyndale Ave S Ste 110 Minneapolis MN 55423 |
| Mailing Address |
5510 Washburn Ave S Minneapolis MN 55410-2437 |
| Practice Telephone | 6123240198 |
| Mailing Telephone | 6126165782 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303216 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 2927 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6640 LYNDALE AVE S STE 110 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144717695 | Travectia Thearpy & Consulting, LLC | Marriage & Family Therapist | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423-2385 | 2018-04-20 |
| 1194221572 | Ashley Myhre | Marriage & Family Therapist | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423-2385 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| 1306189840 | Mark W Koppenberg | Registered Nurse | 6461 - Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904536 | Eric Anfinson | Marriage & Family Therapist | 2835 Emerson Ave S # Cn316, Minneapolis, MN 55408-1388 | 2020-08-24 |
| 1649806118 | Jessica Diane Finney | Marriage & Family Therapist | 314 Clifton Ave Ste 301, Minneapolis, MN 55403-3235 | 2020-03-17 |
| 1912545146 | Andrea Queen Langford | Marriage & Family Therapist | 1201 W Broadway Ave, Minneapolis, MN 55411-2532 | 2019-12-18 |
| 1780229567 | Melanie Faulhaber | Marriage & Family Therapist | 5645 13th Ave S, Minneapolis, MN 55417-2526 | 2019-11-15 |
| 1144877143 | Transcend Psychotherapy, Pllc | Marriage & Family Therapist | 1900 Hennepin Ave Ste 201205, Minneapolis, MN 55403-3160 | 2019-08-23 |
| 1336795301 | Kazoua Vang | Marriage & Family Therapist | 2021 E Hennepin Ave Ste 475, Minneapolis, MN 55413-1870 | 2019-08-14 |
| 1013569649 | Kellie Lynn Kamm | Marriage & Family Therapist | 525 Portland Avenue, Mc 963, Minneapolis, MN 55415-1533 | 2019-07-13 |
| 1811557184 | Christina Maria Jobelius | Marriage & Family Therapist | 3012 W 44th St, Minneapolis, MN 55410-1553 | 2019-06-18 |
| 1932769403 | Sarita M Tabor | Marriage & Family Therapist | 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2047 | 2019-06-17 |
| 1265992994 | Apollo Counseling Inc. | Marriage & Family Therapist | 6909 Mccauley Trl S, Minneapolis, MN 55439-1068 | 2019-03-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55423 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.