SHIRLEY CHRISTINE ZUPETZ (NPI# 1306475983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306475983 |
| Entity Type | Individual |
| Full Name | SHIRLEY CHRISTINE ZUPETZ |
| Other Name | SHIRLEY CHRISTINE MITCHELL |
| Credential | LADC |
| Practice Address |
1137 Grand Ave Saint Paul MN 55105 |
| Practice Telephone | 6122572391 |
| Mailing Telephone | 6122572391 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
305471 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LADC LICENSE NUMBER | 305471 | 01 |
| Street Address |
1137 GRAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518181452 | Sarah Elizabeth Bixler | Counselor | 1137 Grand Ave, Saint Paul, MN 55105 | 2007-04-12 |
| 1134777063 | Elizabeth Anne Perrin | Community Health Worker | 1137 Grand Ave, Saint Paul, MN 55105-2629 | 2019-09-04 |
| 1215581277 | Natalie Fritsch | Counselor | 1137 Grand Ave, Saint Paul, MN 55105-2629 | 2019-07-29 |
| 1104479393 | Robert John Allison | Community/Behavioral Health | 1137 Grand Ave, Saint Paul, MN 55105-2629 | 2019-07-17 |
| 1801173802 | Michelle Lynn Archbold | Counselor | 1137 Grand Ave, Saint Paul, MN 55105-2629 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1629683388 | Family Recovery Resource Experts LLC | Counselor | 311 Ramsey St Ste 206, Saint Paul, MN 55102-2323 | 2020-09-10 |
| 1811508120 | Damaris Axelson | Counselor | 69 Exchange St W # G700, Saint Paul, MN 55102-1004 | 2020-08-11 |
| 1366051344 | Carrie Lois Sorenson | Counselor | 1618 Dayton Ave, Saint Paul, MN 55104-6207 | 2020-07-27 |
| 1104452564 | Heather Thurmes | Counselor | 555 7th St W Ste 302, Saint Paul, MN 55102-3068 | 2020-03-18 |
| 1396377206 | Gail Weiss | Counselor | 1821 University Ave W Ste 333, Saint Paul, MN 55104-2895 | 2020-02-08 |
| 1104456573 | Sarah Ann Licari | Counselor | 455 Etna St, Saint Paul, MN 55106-5859 | 2020-01-24 |
| 1881230134 | Gregory John Robertson | Counselor | 1380 Energy Ln Ste 203, Saint Paul, MN 55108-5253 | 2019-11-21 |
| 1225671415 | Sukimo Dolores Knight | Counselor | 1606 Westminster St # 312, Saint Paul, MN 55130-3036 | 2019-10-21 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on SHIRLEY CHRISTINE ZUPETZ.
| 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.