MS. LORI JOANNE ENGBLOM (NPI# 1396022851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396022851 |
| Entity Type | Individual |
| Full Name | MS. LORI JOANNE ENGBLOM |
| Credential | MA, LPCC |
| Practice Address |
1506 1st St Princeton MN 55371-1462 |
| Mailing Address |
627 Fish Lake Dr Mora MN 55051-7312 |
| Practice Telephone | 7633895080 |
| Practice Fax Number | 7633895453 |
| Mailing Telephone | 3209804489 |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC00299 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1506 1ST ST |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396815643 | Cheryl Minks | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2006-11-08 |
| 1952643843 | Rum River Health Services, Inc. | Clinic/Center | 1506 1st St, Princeton, MN 55371-1462 | 2013-03-19 |
| 1871834713 | Nicole Trettel | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2013-03-01 |
| 1831449933 | John Francis Gorman | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-09-16 |
| 1659629970 | Sean Cameron Mansfield | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-08-16 |
| 1760738314 | Jeanette Lamotte Decker | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-08-01 |
| 1851667547 | Rum River Health Services | Substance Abuse Rehabilitation Facility | 1506 1st St, Princeton, MN 55371-1462 | 2012-03-27 |
| 1962777409 | Lucas Burton Winskowski | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-03-16 |
| 1194090605 | Chelsea Jean Petras | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-03-16 |
| 1811206931 | Thomas Patrick Rogan | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2010-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624840 | Cherie M. Barton | Counselor | 6415 Fm 546 Lot 2, Princeton, TX 75407-4097 | 2020-06-17 |
| 1215577515 | Contee Botchford Moschberger | Counselor | 353 Nassau St, Princeton, NJ 08540-4623 | 2020-01-14 |
| 1841787900 | Magdalena Furniss | Counselor | 20 Nassau St Ste 226, Princeton, NJ 08542-4505 | 2018-04-15 |
| 1417451725 | Poonam D Patel | Counselor | 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 | 2018-03-21 |
| 1679090344 | Sudha Nagarajan | Counselor | 145 Witherspoon St., Suite A7, Princeton, NJ 08540 | 2017-08-24 |
| 1437695756 | Kimberly Beury | Counselor | 29 Leigh Ave, Princeton, NJ 08542-3111 | 2017-01-10 |
| 1598120123 | Eclectic Dragonfly Therapy Services, Pllc | Counselor | 108 6th Ave S, Princeton, MN 55371-1820 | 2015-12-26 |
| 1619344504 | Danice C. Banda | Counselor | 4499 Route 27 Ste 1, Princeton, NJ 08540-8717 | 2015-08-26 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| 1083043798 | Esther Mills | Counselor | 218 Birch Ave, Princeton, NJ 08542-3106 | 2013-11-03 |
| Find all providers in PRINCETON | ||||
Please comment or provide details below to improve the information on MS. LORI JOANNE ENGBLOM.
| 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.