LINDSEY MACKERETH (NPI# 1063889616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063889616 |
Entity Type | Individual |
Full Name | LINDSEY MACKERETH |
Credential | M.A, L.P.C., L.A.D.C |
Practice Address |
7117 Ohms Ln Edina MN 55439 |
Mailing Address |
1741 Glenview Ave Arden Hills MN 55112-2817 |
Practice Telephone | 6515053456 |
Mailing Telephone | 6515053456 |
Enumeration Date | 2015-08-31 |
Last Update Date | 2019-08-13 |
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) |
304109 | MN | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
01501 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1741 Glenview Ave, Arden Hills, MN 551122817 | 6515053456 | |
7200 Forestview Lane N, Maple Grove, MN 553692817 | 6515053456 |
Street Address |
7117 OHMS LN |
City | EDINA |
State | MN |
Zip Code | 55439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396374815 | Paige Neyers | Social Worker | 7117 Ohms Ln, Edina, MN 55439-2142 | 2020-04-06 |
1811412711 | Kodiak Recovery | Clinic/Center | 7117 Ohms Ln, Edina, MN 55439-2142 | 2017-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
1245486612 | Erich Gauger | Orthopaedic Surgery | Sports and Orthopaedic Specialists, 8100 W 78th St Suite 230, Edina, MN 55439 | 2008-08-17 |
Find all providers in zip 55439 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598389587 | Madeline Rose Malowney | Counselor | 5200 Willson Rd Ste 445, Edina, MN 55424-2303 | 2020-06-04 |
1285266692 | Roseina Britton | Counselor | 5995 Lincoln Dr Apt 216, Edina, MN 55436-6112 | 2020-02-04 |
1942729777 | Gala Yvette Oliver | Counselor | 6363 France Ave S Ste 525, Edina, MN 55435-2143 | 2017-09-13 |
1659811826 | Cortney Lynn Amundson | Counselor | 7400 Metro Blvd Ste 335, Edina, MN 55439-2356 | 2017-03-07 |
1003284886 | Stephen Peterson | Counselor | 7400 Metro Blvd Ste 220, Edina, MN 55439-2321 | 2015-09-09 |
1083911531 | Debra Maria Miller-rasmussen | Counselor | 4401 Dunberry Ln, Edina, MN 55435-1618 | 2011-02-18 |
1639303928 | Melissa Dawn Mccauley | Counselor | 107 N 6th St, Edina, MO 63537-1467 | 2009-05-14 |
1538367966 | Sarah A Doll | Counselor | 5100 Edina Industrial Blvd, Suite 231 D, Edina, MN 55439-3000 | 2007-07-06 |
1952910416 | Sara Mehalick | Counselor | 6750 France Ave S Ste 200, Edina, MN 55435-1904 | 2020-07-30 |
1316589443 | Erika Nicole Nelson | Counselor | 5200 Willson Rd Ste 215, Edina, MN 55424-1316 | 2019-10-09 |
Find all providers in EDINA |
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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.