STEVE SO (NPI# 1285017483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285017483 |
| Entity Type | Individual |
| Full Name | STEVE SO |
| Credential | LPC-IT |
| Practice Address |
101 W 2nd St Duluth MN 55802 |
| Mailing Address |
33 N 25th St E Superior WI 54880-5269 |
| Practice Telephone | 2187243122 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2576 - 226 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33 N 25th St E, Superior, WI 548805269 | 7153944173 |
| Street Address |
101 W 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316570823 | Connie Rabideaux | Social Worker | 101 W 2nd St, Duluth, MN 55802-2086 | 2020-02-13 |
| 1316413982 | Dannillya Sperry | Behavior Technician | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-10-22 |
| 1750857595 | Chelsea Weber | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-10-19 |
| 1336621085 | Daniel Rossow | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-08-29 |
| 1437636297 | Marie Gibson Adebisi | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-25 |
| 1194211268 | Jacob Eric Nustad-peluso | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-02 |
| 1275029357 | Cassidy Henriques | Behavior Technician | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-02 |
| 1508350703 | Claire Nicole Ruegemer | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-06-20 |
| 1245724186 | Stacey Kay Flom | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-06-14 |
| 1336639137 | Lydia Walker | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121929 | Richard Wallace Klomp | Counselor | 1810 Peachtree Industrial Blvd Ste 231, Duluth, GA 30097-8178 | 2020-07-07 |
| 1942862883 | Sabrina Tollefson | Counselor | 230 E Superior St Ste 202, Duluth, MN 55802-2185 | 2019-07-01 |
| 1265993927 | Bertrina Olivia West | Counselor | 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446 | 2019-03-26 |
| 1740744853 | Eve-lynn R Fellersen | Counselor | 104 W Superior St Ste 200, Duluth, MN 55802-3000 | 2019-01-23 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1669966024 | Adeola Adefowoju | Counselor | 6115 Abbotts Bridge Rd Apt 403, Duluth, GA 30097-5753 | 2018-06-19 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1508319260 | Kristine Kuns | Counselor | 715 E Central Entrance, Duluth, MN 55811-5596 | 2016-07-29 |
| 1972056950 | Lakeesha Harper | Counselor | 420 Autumn Village Ct, Duluth, GA 30096-7583 | 2016-07-26 |
| Find all providers in DULUTH | ||||
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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.