ROBERT MANTIA (NPI# 1063955508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063955508 |
| Entity Type | Individual |
| Full Name | ROBERT MANTIA |
| Credential | LPCC |
| Practice Address |
7362 University Ave Ne Ste 307 Fridley MN 55432-3150 |
| Practice Telephone | 9525464044 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01387 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7362 UNIVERSITY AVE NE STE 307 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530859 | Dawn L Ziemer | Marriage & Family Therapist | 7362 University Ave Ne Ste 307, Fridley, MN 55432-3150 | 2007-02-02 |
| 1285159442 | Kara Elisabeth Aguilar | Counselor | 7362 University Ave Ne Ste 307, Fridley, MN 55432-3150 | 2017-08-09 |
| 1215233309 | Heather L Goochey | Counselor | 7362 University Ave Ne Ste 307, Fridley, MN 55432-3150 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264491 | Irena M Roberts | Counselor | 1601 N Innsbruck Dr Apt 108, Fridley, MN 55432-6019 | 2020-01-14 |
| 1215383930 | Kelly Marie Karjalahti | Counselor | 5230 Lincoln St Ne, Fridley, MN 55421-1867 | 2016-05-12 |
| 1558995746 | Marlyssa Thorson | Counselor | 7260 University Ave Ne Ste 235, Fridley, MN 55432-3141 | 2020-02-26 |
| 1740822303 | Emily Verna Bell | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-15 |
| 1881243723 | Jeffrey Ronald Hoffman | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-09-04 |
| 1245713825 | Jessee Ann Daley Alton | Counselor | 7260 University Ave Ne Ste 235, Fridley, MN 55432-3141 | 2018-09-10 |
| 1972006336 | Lindsey Rae Moe | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2018-03-13 |
| 1710487947 | Katherine Elyse Gunderson Eccleston | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2018-02-14 |
| 1336653096 | Ellen Catherine Gish | Counselor | 7362 University Ave Ne Ste 101, Fridley, MN 55432-3152 | 2017-11-16 |
| 1598289969 | Jordan Hempel | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2017-07-27 |
| Find all providers in FRIDLEY | ||||
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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.