MR. MARK JUDSON MOLLER (NPI# 1205182201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205182201 |
| Entity Type | Individual |
| Full Name | MR. MARK JUDSON MOLLER |
| Credential | LPC |
| Practice Address |
366 Selby Ave Suite 200 Saint Paul MN 55102-1880 |
| Practice Telephone | 6122800475 |
| Practice Fax Number | 6512244354 |
| Mailing Telephone | 6122800475 |
| Mailing Fax Number | 6512244354 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
01195 | MN | Behavioral Health & Social Service Providers |
| Street Address |
366 SELBY AVE SUITE 200 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673857 | James Jenkins Theisen | Psychologist | 366 Selby Ave, Suite 306, Saint Paul, MN 55102-1880 | 2005-07-19 |
| 1457809790 | Ryan Krebsbach | Marriage & Family Therapist | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2016-09-15 |
| 1861867251 | Psychotherapy and Resilience, Pllc | Psychologist | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2015-12-10 |
| 1205208469 | Sarah Crabtree | Marriage & Family Therapist | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2015-10-28 |
| 1194117473 | Julia Clowney, Licsw, LLC | Social Worker | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2015-02-24 |
| 1396152385 | Anne Delmont, LLC | Social Worker | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2014-07-22 |
| 1720301765 | Scharlemann J Klapste | Marriage & Family Therapist | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2010-03-04 |
| 1669642021 | Alison Elizabeth Mellin | Psychologist | 366 Selby Ave, Suite 306, Saint Paul, MN 55102-1880 | 2008-03-01 |
| 1841472396 | Julia Clowney | Social Worker | 366 Selby Ave, Suite 200, Saint Paul, MN 55102-1880 | 2007-11-27 |
| 1891981387 | Ashley Elizabeth Sovereign | Psychologist | 366 Selby Ave, Suite 306, Saint Paul, MN 55102-1880 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053948315 | 61 Experience | Counselor | 1 Water St W Ste 230, Saint Paul, MN 55107-2002 | 2020-03-26 |
| 1003453473 | Elizabeth Subramaniam | Counselor | 658 Grand Ave, Saint Paul, MN 55105-3417 | 2019-12-04 |
| 1689217283 | Laufenberg Consulting Services | Counselor | 1619 Dayton Ave Ste 321, Saint Paul, MN 55104-6276 | 2019-10-26 |
| 1841833423 | Autism Center | Counselor | 1821 University Ave W Ste 219, Saint Paul, MN 55104-2892 | 2019-10-25 |
| 1518523497 | Angela Marie Blesener | Counselor | 1821 University Ave W Ste 385, Saint Paul, MN 55104-2872 | 2019-05-15 |
| 1508339821 | Integrative Wellness Counseling LLC | Counselor | 1619 Dayton Ave Ste 112, Saint Paul, MN 55104-6276 | 2019-01-09 |
| 1598233074 | Veasna Pho | Counselor | 777 Raymond Ave, Saint Paul, MN 55114-1522 | 2018-11-02 |
| 1366925828 | Amy Stoks | Counselor | 493 Selby Ave, Saint Paul, MN 55102-1726 | 2018-09-11 |
| 1396225140 | Anney Lyons | Counselor | 1884 Como Ave, Saint Paul, MN 55108-2715 | 2018-08-20 |
| 1073005120 | Northstar Mental Health Services LLC | Counselor | 1932 University Ave W, Saint Paul, MN 55104-3426 | 2018-06-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MR. MARK JUDSON MOLLER.
| 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.