CHAD MICHAEL JAYASEKERA (NPI# 1265701775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265701775 |
| Entity Type | Individual |
| Full Name | CHAD MICHAEL JAYASEKERA |
| Credential | MA, LMFT |
| Practice Address |
3490 Lexington Ave N Suite 205 Shoreview MN 55126-8074 |
| Practice Telephone | 6513793424 |
| Mailing Telephone | 6513793424 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2132 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3490 LEXINGTON AVE N SUITE 205 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-8074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639275852 | Northeast Youth & Family Services | Case Management | 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126-8074 | 2006-09-15 |
| 1942717756 | Marissa Thornquist | Speech-Language Pathologist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2018-01-02 |
| 1487048294 | Mckenzie Melander | Speech-Language Pathologist | 3490 Lexington Ave N, Suite 305, Shoreview, MN 55126-8074 | 2015-03-19 |
| 1336572502 | Bill Bedford | Social Worker | 3490 Lexington Ave N, #205, Shoreview, MN 55126-8074 | 2013-08-12 |
| 1760623979 | Brett Howard Hamblin | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2009-03-18 |
| 1174760060 | Lucy Spina | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2009-01-14 |
| 1659516573 | Tara Gillis | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2008-12-05 |
| 1952557126 | Heather Gunderson | Social Worker | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2008-08-07 |
| 1487820643 | Jon Mark Fisher | Social Worker | 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126-8074 | 2008-05-07 |
| 1396926903 | Jason Mcewen | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558859322 | Jeffrey Sanders | Marriage & Family Therapist | 1000 County Road E W Ste 142, Shoreview, MN 55126-8027 | 2018-04-27 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1679823462 | Donna Jean Smith | Marriage & Family Therapist | 702 Heather Dr, Shoreview, MN 55126-3116 | 2012-09-19 |
| 1619452224 | James Pinson | Marriage & Family Therapist | 3550 Lexington Ave N, Shoreview, MN 55126-8075 | 2018-09-28 |
| 1063996080 | Robert James Niehoff | Marriage & Family Therapist | 5985 Rice Creek Pkwy Ste 201, Shoreview, MN 55126-5037 | 2018-09-17 |
| 1437648540 | Carla Kahale Anton | Marriage & Family Therapist | 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 | 2018-05-03 |
| 1922524156 | Cris Roman | Marriage & Family Therapist | 5985 Rice Creek Pkwy Ste 201, Shoreview, MN 55126-5037 | 2017-08-18 |
| 1407306939 | Sagewood Counseling, LLC | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-10-07 |
| 1972964534 | Lisa Lemay | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-03-10 |
| 1760623979 | Brett Howard Hamblin | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2009-03-18 |
| Find all providers in SHOREVIEW | ||||
Please comment or provide details below to improve the information on CHAD MICHAEL JAYASEKERA.
| 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.