MS. KIMBERLY ANN LUNDHOLM-EADES (NPI# 1538253133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538253133 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANN LUNDHOLM-EADES |
| Other Name | KIMBERLY ANN OLSON |
| Credential | M.S., LMFT |
| Practice Address |
7039 20th Ave Centerville MN 55038-9737 |
| Practice Telephone | 6513932830 |
| Practice Fax Number | 6513932835 |
| Mailing Telephone | 6513932830 |
| Mailing Fax Number | 6513932835 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 942 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 011N6LU | 01 |
| Street Address |
7039 20TH AVE |
| City | CENTERVILLE |
| State | MN |
| Zip Code | 55038-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972954295 | Kirsten Christenson | Social Worker | 7039 20th Ave, Centerville, MN 55038-9737 | 2016-06-28 |
| 1568828069 | Aaron Merritt | Marriage & Family Therapist | 7039 20th Ave, Centerville, MN 55038-9737 | 2016-01-13 |
| 1174996656 | Rachael Gusaas | Marriage & Family Therapist | 7039 20th Ave, Centerville, MN 55038-9737 | 2015-11-05 |
| 1518308915 | Virginia Murauskas | Counselor | 7039 20th Ave, Centerville, MN 55038-9737 | 2013-07-13 |
| 1316210255 | Joanne Susan Kurzmann | Social Worker | 7039 20th Ave, Centerville, MN 55038-9737 | 2012-02-22 |
| 1417283946 | Centerlife Counseling, LLC | Social Worker | 7039 20th Ave, Centerville, MN 55038-9737 | 2009-10-18 |
| 1659413599 | Melissa Wetterlund | Psychologist | 7039 20th Ave, Centerville, MN 55038-9737 | 2007-02-13 |
| 1215097928 | Gretchen Suzanne Kirvida | Social Worker | 7039 20th Ave, Centerville, MN 55038-9737 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404231 | Douglas Hopper | Marriage & Family Therapist | 25 S Main St Ste 202, Centerville, UT 84014-1840 | 2012-12-06 |
| 1851618268 | R Cadiance LLC | Marriage & Family Therapist | 7239 Brian Dr, Centerville, MN 55038-9796 | 2010-04-23 |
| 1033398383 | Monica L. Gardner | Marriage & Family Therapist | 952 S 800 E, Centerville, UT 84014-2552 | 2007-11-02 |
| 1255485793 | Kevin Dee Broderick | Marriage & Family Therapist | 94 E Pages Ln Ste A, Centerville, UT 84014-2216 | 2007-01-22 |
| 1174694947 | Jari Lynn Welle | Marriage & Family Therapist | 7039 20th Avenue South, Centerville, MN 55038-9737 | 2006-11-13 |
| 1093279168 | Lauren Samuelsen | Marriage & Family Therapist | 94 E Pages Ln Ste A, Centerville, UT 84014-2216 | 2019-01-23 |
| 1518496637 | Rachel Maldonado | Marriage & Family Therapist | 94 E Pages Ln Ste A, Centerville, UT 84014-2216 | 2017-06-12 |
| 1801248836 | Brigitta Brandt | Marriage & Family Therapist | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2016-07-01 |
| 1093166886 | Melissa Strombeck, Imft | Marriage & Family Therapist | 51 Irongate Park Dr, Centerville, OH 45459-4616 | 2016-06-23 |
| 1568828069 | Aaron Merritt | Marriage & Family Therapist | 7039 20th Ave, Centerville, MN 55038-9737 | 2016-01-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 55038 |
Please comment or provide details below to improve the information on MS. KIMBERLY ANN LUNDHOLM-EADES.
| 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.