MISTY LYNN VIRNIG (NPI# 1205301553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205301553 |
| Entity Type | Individual |
| Full Name | MISTY LYNN VIRNIG |
| Credential | BS, LADC |
| Practice Address |
13045 Falcon Dr Ste 100 Baxter MN 56425-4201 |
| Mailing Address |
37543 Skyview Rd Hillman MN 56338-4503 |
| Practice Telephone | 2182708684 |
| Mailing Telephone | 3203609163 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303226 | MN | Behavioral Health & Social Service Providers |
| Street Address |
13045 FALCON DR STE 100 |
| City | BAXTER |
| State | MN |
| Zip Code | 56425-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306010053 | Donna M. Brengman | Social Worker | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2008-04-14 |
| 1598387706 | Christopher W Strahlenbach | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2020-05-11 |
| 1841839503 | Robert Clemons | Marriage & Family Therapist | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-12-29 |
| 1518518877 | Marei Arden Benton | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-09-26 |
| 1861045262 | Jacqueline Grinnell | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-07-24 |
| 1083171920 | Elizabeth Dawn Winkler-rogers | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425 | 2019-02-27 |
| 1073078200 | Debra A Lane-olson | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-02-01 |
| 1114404274 | Evonne Sirois | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2018-07-22 |
| 1700371689 | Genevere Ann Smith | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2018-06-24 |
| 1538651294 | Jessica Andersen | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1750947164 | Shelly Jones | Counselor | 13045 Falcon Dr, Baxter, MN 56425-4201 | 2019-05-13 |
| 1558824490 | Robert David Andrews-mendoza | Counselor | 13968 Cypress Dr, Baxter, MN 56425-5903 | 2019-04-08 |
| 1073078200 | Debra A Lane-olson | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-02-01 |
| 1316410079 | Sierra Karls | Counselor | 13045 Falcon Dr, Baxter, MN 56425-4201 | 2019-01-05 |
| 1063930238 | Sean Thomas Higgins | Counselor | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2017-09-07 |
| 1952795510 | Lori Ann Lachelt | Counselor | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2015-03-22 |
| 1629490651 | Michael Aanes | Counselor | 13021 Evergreen Dr, Baxter, MN 56425-7439 | 2014-01-10 |
| 1689002123 | Kimberly Jane Hawkins-pankratz | Counselor | 13021 Evergreen Dr, Baxter, MN 56425-7439 | 2013-10-18 |
| 1447510136 | Lindsay Berk Cure-hendrickson | Counselor | 13968 Cypress Dr, Baxter, MN 56425-5903 | 2012-05-29 |
| Find all providers in BAXTER | ||||
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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.