MEGAN L KELLY (NPI# 1104457530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104457530 |
| Entity Type | Individual |
| Full Name | MEGAN L KELLY |
| Other Name | MEGAN L WEGNER |
| Credential | LAMFT |
| Practice Address |
8670 210th St W Lakeville MN 55044-7000 |
| Mailing Address |
W175n11120 Stonewood Dr Germantown WI 53022-4799 |
| Practice Telephone | 8004381772 |
| Practice Fax Number | 2623455562 |
| Mailing Telephone | 2623455533 |
| Mailing Fax Number | 2622939737 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3960 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
| 1033596994 | Megan Ann Kelly | Specialist | 3116 Ann St, Baldwin, NY 11510-4506 | 2015-04-29 |
| 1407274467 | Megan Kelly | Occupational Therapy Assistant | 411 Huntington Rd, Summerville, SC 29483-9726 | 2014-04-06 |
| 1366709149 | Megan Marie Kelly | Occupational Therapist | 97 S Stonington Dr, Palatine, IL 60074-6807 | 2012-04-18 |
| 1891091526 | Megan Moyer Kelly | Occupational Therapist | 74 Bridge St, Newton, MA 02458-1147 | 2011-01-27 |
| 1356505234 | Megan M Kelly | Counselor | 4808 Bristol Way, Yakima, WA 98908-3636 | 2008-07-10 |
| 1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
| 1093334112 | Megan Cathleen Kelly | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-09 |
| 1144868688 | Megan Kelly | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-12-16 |
| 1598303372 | Megan Kelly | Behavior Technician | 193 Oak St, Newton, MA 02464-1457 | 2019-12-12 |
| Street Address |
8670 210TH ST W |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346351350 | Independent School District # 194 | Local Education Agency (LEA) | 8670 210th St W, Lakeville, MN 55044-7000 | 2006-08-31 |
| 1669079042 | Kayla M Pavelka | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-10-08 |
| 1285249391 | Travis T Mord | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-15 |
| 1548875412 | Anna C Dike | Counselor | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-09 |
| 1902411879 | Steven A Bacon | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-09 |
| 1467066068 | Molly A Sartor | Counselor | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-09-02 |
| 1306456355 | Jacob T Pitchford | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-08-05 |
| 1750990735 | Abgail G Mord | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-07-27 |
| 1760009021 | Jamie J Cole | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-07-02 |
| 1073130613 | Samuel K Murphy | Behavior Technician | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033500905 | Jill Pritchard | Marriage & Family Therapist | 15035 165th St. W., Lakeville, MN 55044-1185 | 2015-02-12 |
| 1053674010 | Andrea Katrina Soles | Marriage & Family Therapist | 9940 177th Cir W, Lakeville, MN 55044-8712 | 2012-06-24 |
| 1104101369 | Krista Ann Dufresne Lee | Marriage & Family Therapist | 17305 Cedar Ave S Ste 230, Lakeville, MN 55044-3903 | 2011-10-19 |
| 1861673840 | Mark Kevin Bellows | Marriage & Family Therapist | 9623 162nd St W, Lakeville, MN 55044-7704 | 2007-11-19 |
| 1679752067 | Karrie Ann Jennings | Marriage & Family Therapist | 23175 Woodland Rd, Lakeville, MN 55044-8264 | 2007-11-01 |
| 1952460719 | Michael J Kinzer | Marriage & Family Therapist | 17305 Cedar Ave S, Suite 230, Lakeville, MN 55044-3901 | 2006-12-07 |
| 1396839379 | Ruth Fenton | Marriage & Family Therapist | 10591 165th St W, Lakeville, MN 55044-3528 | 2006-10-03 |
| 1336231620 | Michelle Frauenshuh | Marriage & Family Therapist | 7580 160th St W, Lakeville, MN 55044-8348 | 2006-09-28 |
| 1003386087 | Britnie Krueger | Marriage & Family Therapist | 7580 160th St W, Lakeville, MN 55044-8348 | 2018-12-03 |
| 1851888739 | Aria E Seager | Marriage & Family Therapist | 10535 165th St W, Lakeville, MN 55044-5729 | 2018-04-17 |
| Find all providers in LAKEVILLE | ||||
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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.