KARI FONSTAD (NPI# 1104229038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104229038 |
Entity Type | Individual |
Full Name | KARI FONSTAD |
Credential | LPC, LADC |
Practice Address |
1919 University Ave W 200 Saint Paul MN 55104-3453 |
Practice Telephone | 6512667931 |
Practice Fax Number | 6512667850 |
Mailing Telephone | 6512667931 |
Mailing Fax Number | 6512667850 |
Enumeration Date | 2014-10-07 |
Last Update Date | 2014-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 1439 | MN | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302918 | MN | Behavioral Health & Social Service Providers |
Street Address |
1919 UNIVERSITY AVE W 200 |
City | SAINT PAUL |
State | MN |
Zip Code | 55104-3453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912911918 | Alex Chernyavsky | Chiropractor | 1919 University Ave W, Suite 105, Saint Paul, MN 55104-3453 | 2006-07-28 |
1316453434 | Laura Cooper | Counselor | 1919 University Ave W, Saint Paul, MN 55104-3453 | 2017-12-27 |
1598278285 | Stephanie Dreis | Counselor | 1919 University Ave W, Saint Paul, MN 55104-3453 | 2017-11-16 |
1740722792 | Phillip Tarmann | Counselor | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2016-11-08 |
1356899124 | Layla Ali Abdi | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2016-09-21 |
1396102984 | Margaret Neuman | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2016-01-27 |
1639543556 | Jessica Luehring | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2015-11-16 |
1437533056 | Kenya Walker | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2015-07-14 |
1811328941 | Amy Lee Acker | Social Worker | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2013-11-27 |
1730523523 | Jeanne Marie Lins | Occupational Therapist | 1919 University Ave W, Suite 200 Ramsey County Mental Health Center, Saint Paul, MN 55104-3453 | 2013-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
Find all providers in zip 55104 |
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 |
---|---|---|---|---|
1497262349 | Jennifer Denise Wollenberg | Counselor | 999 Grand Ave Apt 3, Saint Paul, MN 55105-3083 | 2018-01-01 |
1689112278 | Cindy Walsh | Counselor | 54 Bates Ave, Saint Paul, MN 55106-6339 | 2017-02-03 |
1285088864 | Jordan Favia | Counselor | 1400 Energy Park Dr, Saint Paul, MN 55108-5272 | 2016-04-20 |
1659755312 | Immigrant Women and Children Development Center | Counselor | 308 Prince Street, Suite #258, Saint Paul, MN 55101-1476 | 2015-07-13 |
1558789768 | Jennifer Lyn Nix | Counselor | 1301 7th St E, Saint Paul, MN 55106-4039 | 2014-04-03 |
1528499472 | Rachel Marie Le | Counselor | 8134 Jackson Dr, Saint Paul, MN 55112-6022 | 2013-12-03 |
1639400674 | Karen Winston Wright | Counselor | 333 Grand Ave Ste 206, Saint Paul, MN 55102-2583 | 2010-01-14 |
1538338918 | Lynx, LLC | Counselor | 700 Transfer Rd, Saint Paul, MN 55114-1420 | 2008-02-29 |
1992903991 | Aki K Hughes-polk | Counselor | 1740 Vandyke St., Woodland Hills Church, Saint Paul, MN 55109 | 2007-07-11 |
1801497714 | Angela Cierra Caban | Counselor | 762 Transfer Rd, Ste.21, Saint Paul, MN 55114-1489 | 2020-11-06 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55104 |
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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.