WILD TREE PSYCHOTHERAPY, LLC (NPI# 1528451408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528451408 |
| Entity Type | Organization |
| Organization Name | WILD TREE PSYCHOTHERAPY, LLC |
| Practice Address |
1061 Grand Ave Saint Paul MN 55105-3002 |
| Practice Telephone | 7632124920 |
| Mailing Telephone | 7632124920 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | LAUREN ROBBINS (OWNER) |
| Authorized Official Telephone | 6129652622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 303202 | MN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 1287 | MN | Agencies |
| Street Address |
1061 GRAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336280619 | Nicole S. Uzendoski | Social Worker | 1061 Grand Ave, Saint Paul, MN 55105-3002 | 2007-02-09 |
| 1407221088 | Lauren Robbins | Community/Behavioral Health | 1061 Grand Ave, Saint Paul, MN 55105-3002 | 2015-12-08 |
| 1467829168 | Ppsm | Social Worker | 1061 Grand Ave, Saint Paul, MN 55105-3002 | 2015-08-28 |
| 1417396409 | Elena Faith Walker | Counselor | 1061 Grand Ave, Saint Paul, MN 55105-3002 | 2013-06-23 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435401 | Aurora Behavioral Health | Community/Behavioral Health | 1821 University Ave W Ste 225, Saint Paul, MN 55104-2895 | 2019-03-11 |
| 1821583295 | Integrate Counseling Pllc | Community/Behavioral Health | 1145 Grand Ave Ste 203, Saint Paul, MN 55105-2629 | 2018-06-27 |
| 1891233565 | Cp Consulting & Research, LLC | Community/Behavioral Health | 2395 University Ave W Ste 200, Saint Paul, MN 55114-1511 | 2017-02-02 |
| 1821533779 | Minneosta Wellness Center LLC | Community/Behavioral Health | 808 Berry St Apt 192, Saint Paul, MN 55114-1082 | 2017-01-02 |
| 1164875670 | Integrated Health | Community/Behavioral Health | 1830 Selby Ave, Saint Paul, MN 55104-6024 | 2016-07-20 |
| 1992150080 | Minnesota Mental Health Center | Community/Behavioral Health | 990 Payne Ave, Saint Paul, MN 55130-3987 | 2016-04-26 |
| 1629437793 | Integrated Health | Community/Behavioral Health | 2030 Saint Clair Ave, Saint Paul, MN 55105-1650 | 2016-02-18 |
| 1679949044 | Elite Recovery LLC | Community/Behavioral Health | 1145 Grand Ave, #101, Saint Paul, MN 55105-2629 | 2015-08-19 |
| 1316321235 | Aide Bilingual Services | Community/Behavioral Health | 914 Fuller Ave, Saint Paul, MN 55104-4741 | 2015-07-10 |
| 1871993832 | Mikemarekcounseling | Community/Behavioral Health | 615 Pascal St N, Saint Paul, MN 55104-2443 | 2014-08-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on WILD TREE PSYCHOTHERAPY, LLC.
| 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.