IVES KENNETH WITTMAN (NPI# 1356949432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356949432 |
Entity Type | Individual |
Full Name | IVES KENNETH WITTMAN |
Credential | LPCC |
Practice Address |
1828 Jefferson St Ne Minneapolis MN 55418-4427 |
Mailing Address |
767 Heinel Dr Roseville MN 55113-2152 |
Practice Telephone | 6512450417 |
Mailing Telephone | 6127412152 |
Enumeration Date | 2020-10-12 |
Last Update Date | 2020-10-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC02438 | MN | Behavioral Health & Social Service Providers |
Street Address |
1828 JEFFERSON ST NE |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55418-4427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
Find all providers in zip 55418 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
1154961894 | Steven James Stadler | Counselor | 7831 E Bush Lake Rd Ste 200, Minneapolis, MN 55439-3131 | 2020-01-10 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55418 |
Please comment or provide details below to improve the information on IVES KENNETH WITTMAN.
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.