AFFILIATED COUNSELING CENTER (NPI# 1194836064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194836064 |
| Entity Type | Organization |
| Organization Name | AFFILIATED COUNSELING CENTER |
| Practice Address |
7260 University Ave Ne Suite 235 Fridley MN 55432-3126 |
| Practice Telephone | 7635722605 |
| Practice Fax Number | 7635722606 |
| Mailing Telephone | 7635722605 |
| Mailing Fax Number | 7635722606 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL ANTHONY MARTINSON (CLINIC DIRECTOR) |
| Authorized Official Telephone | 7635722605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC 103 | MN | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | LP 3668 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | LMFT 1081 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710302286 | Affiliated Counseling Center | Social Worker | 7590 Nw 186th St, Suite 208, Hialeah, FL 33015-2952 | 2014-02-20 |
| Street Address |
7260 UNIVERSITY AVE NE SUITE 235 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784260 | David Padula | Dentist | 7260 University Ave Ne, Suite 115, Fridley, MN 55432-3126 | 2005-10-19 |
| 1124383799 | Christine Dumke | Social Worker | 7260 University Ave Ne, Suite 235, Fridley, MN 55432-3126 | 2012-07-10 |
| 1932408549 | Richard Allen Mclellan | Psychologist | 7260 University Ave Ne, #235, Fridley, MN 55432-3126 | 2011-03-22 |
| 1073819306 | Matthew John Fritscher | Counselor | 7260 University Ave Ne, Suite 235, Fridley, MN 55432 | 2011-02-03 |
| 1710030796 | Padula Dental Pa | Dentist | 7260 University Ave Ne, Suite 115, Fridley, MN 55432-3126 | 2007-01-21 |
| 1003915935 | Marcie L Stresemann | Counselor | 7260 University Ave Ne, Suite 235, Fridley, MN 55432-3126 | 2006-09-21 |
| 1073625182 | Tricia K. Gibson | Marriage & Family Therapist | 7260 University Ave Ne, Suite 235, Fridley, MN 55432-3126 | 2006-08-31 |
| 1689785917 | Mary Elisabeth Robertson | Psychologist | 7260 University Ave Ne, Suite 235, Fridley, MN 55432-3126 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264491 | Irena M Roberts | Counselor | 1601 N Innsbruck Dr Apt 108, Fridley, MN 55432-6019 | 2020-01-14 |
| 1215383930 | Kelly Marie Karjalahti | Counselor | 5230 Lincoln St Ne, Fridley, MN 55421-1867 | 2016-05-12 |
| 1558995746 | Marlyssa Thorson | Counselor | 7260 University Ave Ne Ste 235, Fridley, MN 55432-3141 | 2020-02-26 |
| 1740822303 | Emily Verna Bell | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-15 |
| 1881243723 | Jeffrey Ronald Hoffman | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-09-04 |
| 1245713825 | Jessee Ann Daley Alton | Counselor | 7260 University Ave Ne Ste 235, Fridley, MN 55432-3141 | 2018-09-10 |
| 1972006336 | Lindsey Rae Moe | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2018-03-13 |
| 1710487947 | Katherine Elyse Gunderson Eccleston | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2018-02-14 |
| 1336653096 | Ellen Catherine Gish | Counselor | 7362 University Ave Ne Ste 101, Fridley, MN 55432-3152 | 2017-11-16 |
| 1598289969 | Jordan Hempel | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2017-07-27 |
| Find all providers in FRIDLEY | ||||
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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.