MS. ALYSSA CLEVENGER


Address: 3450 Oleary Ln, Eagan, MN 55123-2340
Phone: 6513658242

MS. ALYSSA CLEVENGER (NPI# 1174542567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174542567
Entity Type Individual
Full Name MS. ALYSSA CLEVENGER
Credential LMFT
Practice Address 3450 Oleary Ln
Eagan
MN 55123-2340
Mailing Address 1325 Hague Ave
Saint Paul
MN 55104-6418
Practice Telephone 6513658242
Practice Fax Number 6514543492
Mailing Telephone 6127990862
Enumeration Date 2006-07-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1539 MN Behavioral Health & Social Service Providers

Office Location

Street Address 3450 OLEARY LN
City EAGAN
State MN
Zip Code 55123-2340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750366167 Patrice Lauer-roberts Social Worker 3450 Oleary Ln, Eagan, MN 55123-2340 2005-12-08
1083224232 Saoirse Mcmahon Social Worker 3450 Oleary Ln, Eagan, MN 55123-2340 2020-08-03
1194334318 Lisa Joy Rutman Social Worker 3450 Oleary Ln, Eagan, MN 55123-2340 2020-07-23
1265065114 Kaibeh Benson Nurse Practitioner 3450 Oleary Ln, Eagan, MN 55123-2340 2020-02-19
1952942476 Emily J Holton Counselor 3450 Oleary Ln, Eagan, MN 55123-2340 2019-10-06
1730733098 Joshua Hampton Goodwin Social Worker 3450 Oleary Ln, Eagan, MN 55123-2340 2019-07-25
1992369664 Mary Annette Freitag Counselor 3450 Oleary Ln, Eagan, MN 55123-2340 2019-04-27
1730742792 Shannon Derfus Counselor 3450 Oleary Ln, Eagan, MN 55123-2340 2019-04-16
1669930012 Brian Nelson Counselor 3450 Oleary Ln, Eagan, MN 55123-2340 2019-03-05
1891269155 Elise Broderick Quam Social Worker 3450 Oleary Ln, Eagan, MN 55123 2019-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053828467 Hilltop Family Chiropractic Center Pa Chiropractor 1121 Town Centre Drive Suite 202, Eagan, MN 55123 2018-01-08
1922452507 Jacob Zimmerman Counselor 3450 O'leary Ln., Eagan, MN 55123 2016-04-20
1316320971 K-squared Fitness, L.L.C. Public Health or Welfare 1100 Cliff Rd, Eagan, MN 55123 2015-07-01
1346683687 Joshua M Dorn Allergy & Immunology 3460 Promenade Ave, Eagan, MN 55123 2013-04-16
1700172350 Mary Christine Mcnabney Nurse Practitioner 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 2011-06-22
1033353669 Todd Borstad Social Worker 3450 O'leary Lane, Eagan, MN 55123 2009-04-27
1821025271 Mngi Endoscopy LLC Clinic/Center 1185 Town Centre Drive, Eagan, MN 55123 2006-06-28
1780620120 Cindy Eileen Wood Audiologist 3440 Oleary Lane, 240, Eagan, MN 55123 2006-06-22
1609845742 Jeffery R Dichter Internal Medicine 849 Govern Circle, Saint Paul, MN 55123 2006-03-14
1962932491 Maliah J Mcgraw Dentist 1121 Town Centre Dr Ste 200, Eagan, MN 55123 2017-06-18
Find all providers in zip 55123

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437750056 Tanner Zimmerman Marriage & Family Therapist 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 2020-11-02
1053937029 Encompass Hope, LLC Marriage & Family Therapist 3460 Washington Dr Ste 109, Eagan, MN 55122-4301 2020-06-24
1043734122 Jessica Christine Smith Marriage & Family Therapist 1960 Cliff Lake Rd Ste 129-260, Eagan, MN 55122-2476 2017-07-31
1528451028 Judi Ross Holistic Therapy, LLC Marriage & Family Therapist 4141 Old Sibley Memorial Highway, Eagan, MN 55122 2015-03-09
1316386766 Denise Eileen Zajac Marriage & Family Therapist 4273 Rosemary Ct, Eagan, MN 55123-3047 2013-06-19
1013284645 Corey Eugene Yeager Marriage & Family Therapist 4290 Fox Ridge Rd, Eagan, MN 55122-2253 2011-11-28
1316181845 Dana Christine Tran Marriage & Family Therapist 2030 Rahn Way, Eagan, MN 55122-2300 2009-04-28
1679786099 Megan Jennifer Oudekerk Marriage & Family Therapist 3440 Federal Dr Ste 150, Eagan, MN 55122-3516 2007-05-08
1013925312 Twin Cities Play Therapy Center, LLC Marriage & Family Therapist 3440 Federal Dr, Suite 140, Eagan, MN 55122-3501 2006-08-03
1528666435 Jasmine Vasquez Marriage & Family Therapist 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 2020-10-13
Find all providers in EAGAN

Competitor

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City EAGAN
Zip Code 55123

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Dataset Information

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.

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