JONATHAN CORY BRAVERMAN (NPI# 1255834586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255834586 |
| Entity Type | Individual |
| Full Name | JONATHAN CORY BRAVERMAN |
| Credential | MS, LPCC |
| Practice Address |
540 E 1st St Waconia MN 55387-1600 |
| Practice Telephone | 9524424437 |
| Mailing Telephone | 9524424437 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1487 | MN | Behavioral Health & Social Service Providers |
| Street Address |
540 E 1ST ST |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887379 | Anna Skytta-gurkanlar | Psychologist | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-09 |
| 1427671056 | Charlie Yanisch | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2020-05-18 |
| 1487285920 | Suzan Muhanna | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2020-02-03 |
| 1023657863 | Sarah Manthei | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2019-12-26 |
| 1295384188 | Jamie Meyer | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-09-04 |
| 1063079762 | Charell Dutton | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-05-29 |
| 1598223893 | Josie Hoffman | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2019-03-05 |
| 1437650447 | Elizabeth Smith Noonan | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-25 |
| 1467952986 | Alyson Montplaisir | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-21 |
| 1710492236 | Kathryn Macthalena Jurado | Marriage & Family Therapist | 540 E 1st St, Waconia, MN 55387-1600 | 2017-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1578900411 | Amanda Katherine Gloudeman | Counselor | 12255 County Road 32, Waconia, MN 55387-9673 | 2013-06-02 |
| 1689223760 | Michael Friesen | Counselor | 113 W Main St, Waconia, MN 55387-1023 | 2019-09-10 |
| 1194207050 | Selena Morefield | Counselor | 113 W Main St, Waconia, MN 55387 | 2018-09-06 |
| 1356840797 | Michelle R. Moldenhauer | Counselor | 233 W 1st St, Waconia, MN 55387-1302 | 2018-02-11 |
| 1801276563 | Benjamin Long | Counselor | 540 E 1st St, Waconia, MN 55387 | 2015-06-08 |
| 1235531286 | Emily Bennett | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2014-09-22 |
| 1548679384 | Mark Moore | Counselor | 540 E 1st St, Waconia, MN 55387 | 2014-08-06 |
| 1740417047 | Sara J Frame | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2009-06-15 |
| 1154429975 | Amber E Michels | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2006-09-20 |
| Find all providers in WACONIA | ||||
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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.