THE TERRACE GROUP LTD (NPI# 1114974201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114974201 |
| Entity Type | Organization |
| Organization Name | THE TERRACE GROUP LTD |
| Practice Address |
10580 Wayzata Blvd Ste 150 Minnetonka MN 55305-1657 |
| Practice Telephone | 9525950562 |
| Practice Fax Number | 9525950564 |
| Mailing Telephone | 9525950562 |
| Mailing Fax Number | 9525950564 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. LELAND KARL MARTIN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9525950562 |
| Authorized Official Credential | PHD LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3094 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | 50358 | 01 |
| MN | MEDICARE | C04096 | 01 |
| MN | BCBS | 5H812MA | 01 |
| MN | BCBS | 25G82TE | 01 |
| Street Address |
10580 WAYZATA BLVD STE 150 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603541 | Minnetonka Counseling LLC | Psychologist | 12301 Whitewater Dr # 30, Minnetonka, MN 55343-9447 | 2017-04-18 |
| 1144554858 | Clare N Buntrock | Psychologist | 10275 Wayzata Blvd, #270, Minnetonka, MN 55305-1659 | 2009-09-28 |
| 1033267612 | Alecia Ann Viera | Psychologist | 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 | 2007-01-08 |
| 1407926363 | Rita A Benak | Psychologist | 11900 Wayzata Blvd Ste 200, Minnetonka, MN 55305-2053 | 2006-11-08 |
| 1720171382 | Peggy Susan Maki | Psychologist | 601 Carlson Pkwy, Suite 1050, Minnetonka, MN 55305-5203 | 2006-10-02 |
| 1548370190 | Johanna Lee Lamm | Psychologist | 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 | 2006-08-30 |
| 1821106279 | Sara Elvabogestad Schilplin | Psychologist | 12301 Whitewater Dr, Ste 101, Minnetonka, MN 55343-9447 | 2006-08-27 |
| 1386757300 | Jacquelyn K. Wiersma | Psychologist | 3931 Auburn Dr, Minnetonka, MN 55305-5196 | 2006-08-16 |
| 1053325175 | Susan Kay Powers Olson | Psychologist | 17508 Minnetonka Blvd, Minnetonka, MN 55345-1007 | 2006-07-27 |
| 1033193172 | Laura Ann Jaap | Psychologist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2005-12-02 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on THE TERRACE GROUP LTD.
| 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.