KIMBERLY JARA (NPI# 1568013118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568013118 |
| Entity Type | Individual |
| Full Name | KIMBERLY JARA |
| Credential | M.A., LPCC |
| Practice Address |
701 Dellwood St S Cambridge MN 55008-1920 |
| Mailing Address |
5155 E River Rd Fridley MN 55421-1025 |
| Practice Telephone | 7636898700 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2198 | MN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2198 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5155 E River Rd, Fridley, MN 554211025 | 7637803307 |
| Street Address |
701 DELLWOOD ST S |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093787152 | Randy A Karger | Ophthalmology | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2006-02-03 |
| 1629615778 | Elizabeth Horn | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-09 |
| 1982241170 | Jessica Gunion | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
| 1629615844 | Darren Vincent Rudeen | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
| 1881239325 | Lori Lynn Adams | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1923 | 2019-11-07 |
| 1396386173 | Allina Health System | Psychologist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-10-03 |
| 1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
| 1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
| 1093270621 | Angelique Ann Creger | Occupational Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-02-07 |
| 1093285025 | Adam James Herkert | Physician Assistant | 701 Dellwood St S, Cambridge, MN 55008 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407947 | Paula Powers | Counselor | 128 S 12th St, Cambridge, OH 43725-2449 | 2017-06-19 |
| 1528329117 | Omeaka Jackson | Counselor | 204 Cedar St, Ste 102, Cambridge, MD 21613-2395 | 2012-05-31 |
| 1851664619 | Deborah Christopher Weber | Counselor | 205 Sunburst Hwy, Cambridge, MD 21613-2045 | 2012-02-09 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1972832525 | Deborah S Smith | Counselor | 121 N 18th St, Cambridge, OH 43725-2501 | 2009-12-10 |
| 1801077417 | Epona Counseling Center LLC | Counselor | 220 Ashland St S, Cambridge, MN 55008-1542 | 2007-11-26 |
| 1407051600 | John N Sciretta | Counselor | 217 Concord Ave, Cambridge, MA 02138-1334 | 2007-06-18 |
| 1356471312 | Doryam Cecilia Massimo | Counselor | 5 Sacramento Street, Cambridge, MA 02138 | 2007-03-07 |
| 1144856501 | Andrea Yamille Ruiz | Counselor | 349 Broadway, Cambridge, MA 02139-1715 | 2020-03-18 |
| 1912568080 | Rebecca Crain | Counselor | 817 Main St N, Cambridge, MN 55008-1275 | 2019-06-27 |
| Find all providers in CAMBRIDGE | ||||
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| 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.