KEO SENGSAVANG (NPI# 1063965721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063965721 |
Entity Type | Individual |
Full Name | KEO SENGSAVANG |
Practice Address |
1101 E 78th St Suite 100 Bloomington MN 55420-1400 |
Practice Telephone | 9528545034 |
Practice Fax Number | 9528545363 |
Mailing Telephone | 9528545034 |
Mailing Fax Number | 9528545363 |
Enumeration Date | 2016-07-29 |
Last Update Date | 2016-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
1101 E 78TH ST SUITE 100 |
City | BLOOMINGTON |
State | MN |
Zip Code | 55420-1400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497811780 | Peter James Hartwich | Marriage & Family Therapist | 1101 E 78th St, Bloomington, MN 55420-1400 | 2006-12-29 |
1285173989 | Katherine Downing | Counselor | 1101 E 78th St, Bloomington, MN 55420-1400 | 2017-02-15 |
1285187757 | Barbara Bindgen | Psychologist | 1101 E 78th St, Ste. 100, Bloomington, MN 55420-1400 | 2016-08-01 |
1114379336 | Alexandra Wyss | Counselor | 1101 E 78th St, 100, Bloomington, MN 55420-1400 | 2016-07-12 |
1336591601 | Sarah Noel Anderson | Counselor | 1101 E 78th St, Suite 100, Bloomington, MN 55420-1400 | 2016-07-11 |
1992155469 | Joannie Louise Reckard | Counselor | 1101 E 78th St, 100, Bloomington, MN 55420-1400 | 2016-06-15 |
1346661048 | Sarah Kupfer | Psychologist | 1101 E 78th St, Suite 100, Bloomington, MN 55420-1400 | 2013-12-23 |
1730510421 | Jennifer Meade | Counselor | 1101 E 78th St, Suite 100, Bloomington, MN 55420-1400 | 2013-12-05 |
1083995922 | Brian Patrick Zirngible | Marriage & Family Therapist | 1101 E 78th St, Suite 318, Bloomington, MN 55420-1400 | 2011-09-06 |
1831429620 | Jessica Marie Voerding | Marriage & Family Therapist | 1101 E 78th St, Suite 318, Bloomington, MN 55420-1400 | 2009-12-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
Find all providers in zip 55420 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
1881218642 | Amy Lynn Hootman | Counselor | 2806 W Fawkesway Dr, Bloomington, IN 47404-1211 | 2020-06-07 |
1568096543 | Elm Services LLC | Counselor | 4076 N Brookwood Dr, Bloomington, IN 47404-9602 | 2020-02-27 |
1033759014 | Joseph Gerbofsky | Counselor | 410 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-01-08 |
1508416371 | Amy Michelle Owens | Counselor | 400 W 7th St Ste 105g, Bloomington, IN 47404-3900 | 2019-09-13 |
1407401714 | Nichole M Day | Counselor | 101 W Kirkwood Ave Ste 210, Bloomington, IN 47404-6133 | 2019-08-04 |
1548721574 | Ashley Hilkey | Counselor | 4500 W Woodland Dr, Bloomington, IN 47404-9582 | 2019-03-31 |
1235695867 | Sandra K. Tucker, Ms, Lmhc, LLC | Counselor | 822 W 1st St Ste 4, Bloomington, IN 47403-2382 | 2019-02-19 |
1487120903 | Rebecca Anne Romberger | Counselor | 530 W Center, Bloomington, IL 61701-6170 | 2018-10-23 |
1740789635 | Jonna Marie Capio Lmhc LLC | Counselor | 3925 E Hagan St Ste 307, Bloomington, IN 47401-8649 | 2018-02-06 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 55420 |
Please comment or provide details below to improve the information on KEO SENGSAVANG.
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.