JULIE BLASKE (NPI# 1124486246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124486246 |
| Entity Type | Individual |
| Full Name | JULIE BLASKE |
| Credential | MA LADC LMFT |
| Practice Address |
1310 Hwy 96 E Suite 200 White Bear Lake MN 55110 |
| Mailing Address |
3515 Tiffany Lane Shoreview MN 55126 |
| Practice Telephone | 6122416004 |
| Mailing Telephone | (651) 238-2840 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303395 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 3106 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 Civic Heights Dr, Suite 103, Circle Pines, MN 550144711 | 6512382840 | 7636570819 |
| Street Address |
1310 HWY 96 E SUITE 200 |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| 1760771810 | Maria Leora Amaro Simmons | Pharmacist | 1403 Highway 96e, White Bear Lake, MN 55110 | 2011-03-29 |
| Find all providers in zip 55110 | ||||
| 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 |
|---|---|---|---|---|
| 1346883931 | Julie Kraai | Marriage & Family Therapist | 1895 County Road E E Ste 214, White Bear Lake, MN 55110-4690 | 2019-10-25 |
| 1356863641 | Samuel David Tosteson | Marriage & Family Therapist | 4711 Bald Eagle Ave, White Bear Lake, MN 55110-3156 | 2017-07-09 |
| 1992078851 | Richmond Counseling Inc. | Marriage & Family Therapist | 4886 Highway 61 N Ste L3, White Bear Lake, MN 55110-2858 | 2012-02-22 |
| 1366770406 | Diane Lynn Hovey | Marriage & Family Therapist | 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110 | 2009-12-01 |
| 1063696300 | Amanda Jean Vaske | Marriage & Family Therapist | 1310 Highway 96 E Ste 211, White Bear Lake, MN 55110-3619 | 2007-12-21 |
| 1700095312 | Diane Annette Beers | Marriage & Family Therapist | 1967 Garden Ln, White Bear Lake, MN 55110-6607 | 2007-05-21 |
| 1316003874 | David Phillip Halper | Marriage & Family Therapist | 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110-3618 | 2006-12-29 |
| 1861588188 | Dennis A. Smith & Associates, P. A. | Marriage & Family Therapist | 2101 Whitetail Rdg, White Bear Lake, MN 55110-1034 | 2006-10-05 |
| 1497215305 | Emily Jordan Jensen | Marriage & Family Therapist | 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110-3618 | 2019-03-25 |
| 1609255694 | Minnesota Online Counseling LLC | Marriage & Family Therapist | 1310 Highway 96 E, Suite 104c, White Bear Lake, MN 55110-3624 | 2015-05-22 |
| Find all providers in WHITE BEAR LAKE | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
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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.