JENNA MARIE LEIRMOE (NPI# 1134614506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134614506 |
| Entity Type | Individual |
| Full Name | JENNA MARIE LEIRMOE |
| Credential | MS, LPCC |
| Practice Address |
38878 12th Ave North Branch MN 55056 |
| Mailing Address |
38878 12th Ave North Branch MN 55056-6658 |
| Practice Telephone | 6124064469 |
| Mailing Telephone | 6124064469 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC01824 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 508 Freeport Ave Nw, Elk River, MN 553301873 | 7634411578 | |
| 38878 12th Ave, North Branch, MN 55056 | 6124064469 | |
| 8085 Wayzata Blvd Ste 215, Golden Valley, MN 554261457 | 6124064469 |
| Street Address |
38878 12TH AVE |
| City | NORTH BRANCH |
| State | MN |
| Zip Code | 55056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306351366 | Teri Schilling Licsw LLC | Counselor | 38878 12th Ave, North Branch, MN 55056-6658 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217146 | Joy Solano | Counselor | 38873 14th Ave North, North Branch, MN 55056 | 2015-10-19 |
| 1285072637 | Teresa Ann Dewitt | Registered Nurse | 9208 St Croix Trail, North Branch, MN 55056 | 2013-06-07 |
| 1396074209 | Twin Cities Mobile Chiropractic, P.C. | Clinic/Center | 6754 380th Circle, North Branch, MN 55056 | 2009-12-24 |
| 1811157662 | Shopko Stores Operating Co LLC | Pharmacy | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-16 |
| 1023171196 | Shawn Timothy Mccullough | Dentist | 6041 Main Street, Suite C, North Branch, MN 55056 | 2006-12-19 |
| 1518050103 | Paula J Rehder | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-02 |
| 1699711614 | Julie A Perreault | Chiropractor | 6361 Main St, No Branch, MN 55056 | 2006-06-20 |
| 1760950307 | Kara H Mireles | Marriage & Family Therapist | 5842 Old Main St, Ste 2,3,4, North Branch, MN 55056 | 2018-11-12 |
| 1689835647 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-23 |
| 1194849687 | County Valu Pharmacy | Pharmacy | 6445 Main Street, North Branch, MN 55056 | 2007-03-19 |
| Find all providers in zip 55056 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095992 | Michael Bahr Perry | Counselor | 5842 Old Main St Ste 234, North Branch, MN 55056-6687 | 2019-10-28 |
| 1821647991 | Selena Stevens | Counselor | 6448 Main St Ste 1and3, North Branch, MN 55056-7068 | 2019-09-10 |
| 1518424936 | Samantha Ann Nelson | Counselor | 6598 Brush St, North Branch, MI 48461-8842 | 2019-02-21 |
| 1164997474 | Maggie Florence Johnson | Counselor | 38780 8th Ave Ste C, North Branch, MN 55056-6696 | 2018-10-12 |
| 1306351366 | Teri Schilling Licsw LLC | Counselor | 38878 12th Ave, North Branch, MN 55056-6658 | 2017-12-12 |
| 1114331022 | Marc Switko | Counselor | 6 North Branch-callicoon Center Road, North Branch, NY 12766-0001 | 2014-06-18 |
| 1801051461 | Haven Center, Inc | Counselor | 38460 Lincoln Trl, Suite 106, North Branch, MN 55056-5834 | 2008-07-23 |
| 1083263032 | Margaret Wilkinson | Counselor | 6448 Main St Ste 1and3, North Branch, MN 55056-7068 | 2019-09-11 |
| 1255980322 | Desirae Rajdl | Counselor | 6448 Main St Ste 1and3, North Branch, MN 55056-7068 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANCH |
| Zip Code | 55056 |
Please comment or provide details below to improve the information on JENNA MARIE LEIRMOE.
| 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.