JESSICA WAAGE (NPI# 1194296459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194296459 |
| Entity Type | Individual |
| Full Name | JESSICA WAAGE |
| Credential | LPC |
| Practice Address |
8530 Eagle Point Blvd Ste 100 Lake Elmo MN 55042-8648 |
| Mailing Address |
841 Cope Ave W Roseville MN 55113-4542 |
| Practice Telephone | 6125626766 |
| Mailing Telephone | 5074568692 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2014 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2014 | MN | Behavioral Health & Social Service Providers |
| Street Address |
8530 EAGLE POINT BLVD STE 100 |
| City | LAKE ELMO |
| State | MN |
| Zip Code | 55042-8648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396866513 | Alison Mae Stroobants | Counselor | 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648 | 2007-04-03 |
| 1144850876 | Insight Out Counseling, Pllc | Counselor | 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648 | 2020-01-22 |
| 1164992301 | Venthouse Counseling | Counselor | 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648 | 2018-11-30 |
| 1417405317 | Jason Michael Walter | Counselor | 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1760781314 | Swedehill Lifecare, LLC | Home Health | 8951 Highway 5, Lake Elmo, MN 55042 | 2011-03-22 |
| 1295859676 | St Croix Valley Dental Pllc | Dentist | 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 | 2007-03-19 |
| 1245281823 | Kent Gregory Brockmann | Psychiatry & Neurology | 8673 Eagle Point Blvd, Lake Elmo, MN 55042 | 2006-05-16 |
| 1396722674 | Nancy L Johnson-rauen | Physical Therapist | 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042 | 2005-12-28 |
| 1639655384 | Katlyn Arndt | Psychiatry & Neurology | 8515 Eagle Point Blvd, Lake Elmo, MN 55042 | 2018-07-16 |
| 1295227247 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2018-06-05 |
| 1396120473 | Pdg, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN 55042 | 2015-07-30 |
| 1124455324 | Leslie Markowitz | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2013-10-02 |
| 1215295001 | Jessica R Baltz | Marriage & Family Therapist | 3819 Laverne Ave N, Lake Elmo, MN 55042 | 2012-04-30 |
| Find all providers in zip 55042 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515166 | Chanel Joy Thiry | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2020-07-13 |
| 1164992301 | Venthouse Counseling | Counselor | 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648 | 2018-11-30 |
| 1740654177 | Shanna Buhr | Counselor | 8530 Eagle Point Blvd, 150, Lake Elmo, MN 55042-8649 | 2015-11-23 |
| 1003195470 | Amber Langford | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2011-08-16 |
| 1508855586 | Sara Werner | Counselor | 8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | 2005-10-20 |
| 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 | ||||
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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.