DANEANE RAE BUDREAU (NPI# 1093091886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093091886 |
| Entity Type | Individual |
| Full Name | DANEANE RAE BUDREAU |
| Credential | BS |
| Practice Address |
722 15th St Nw Bemidji MN 56601-2528 |
| Practice Telephone | 2187513280 |
| Practice Fax Number | 2187513298 |
| Mailing Telephone | 2187513280 |
| Mailing Fax Number | 2187513298 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
722 15TH ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255431003 | Thomas Eugene Williams | Social Worker | 722 15th St Nw, Bemidji, MN 56601 | 2006-09-22 |
| 1639728280 | Trinity Kylyn Bergeron | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2019-09-06 |
| 1588145270 | Katlyn Bowman | Registered Nurse | 722 15th St Nw, Bemidji, MN 56601-2528 | 2018-08-22 |
| 1770099731 | Shawna Marie Burnham | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-12-28 |
| 1427567601 | Sanford Health of Northern Minnesota | Clinic/Center | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-09-20 |
| 1750819926 | Emily Celeste Barbot | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-31 |
| 1730616962 | Marlin George Farley | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1114454345 | Rylie Dian Helweg | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1033646260 | Christopher Lee Slough | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1992239628 | Angela Rae Hiebsch | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543533 | Taylor Jean Hartje | Counselor | 116 3rd St Nw, Bemidji, MN 56601-3102 | 2020-09-22 |
| 1043783574 | Hannah Wilson | Counselor | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2019-01-08 |
| 1114470416 | Joy Boston | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2016-08-03 |
| 1982077541 | Charly Candas Vangrinsven | Counselor | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2015-11-04 |
| 1568860914 | Bobbi Davis | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2014-12-17 |
| 1669759825 | Melinda Lynn Broden | Counselor | 1001 Mississippi Ave Nw, Bemidji, MN 56601-4534 | 2011-11-15 |
| 1124332507 | Rosemarie Johnson | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2010-07-28 |
| 1619152857 | Brian Alan Lietz | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2008-01-07 |
| 1871610410 | Tamara D Rustand | Counselor | 722 15th St Nw, Bemidji, MN 56601 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
| 1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
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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.