STEPHANIE FISH (NPI# 1568818557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568818557 |
| Entity Type | Individual |
| Full Name | STEPHANIE FISH |
| Credential | LMFT |
| Practice Address |
3833 Coon Rapids Blvd Nw Suite 120 Coon Rapids MN 55433-2643 |
| Practice Telephone | 7637673350 |
| Practice Fax Number | 7677670912 |
| Mailing Telephone | 7637673350 |
| Mailing Fax Number | 7677670912 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3263 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497853980 | Stephanie Mcgowan Fish | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2006-09-20 |
| 1952741845 | Stephanie Dean Fish | Registered Nurse | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2013-06-25 |
| 1255682225 | Stephanie Helaine Fish | Social Worker | 3297 Washington St, Jamaica Plain, MA 02130-2655 | 2012-10-01 |
| 1770502262 | Stephanie A Fish | Internal Medicine | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2006-07-18 |
| Street Address |
3833 COON RAPIDS BLVD NW SUITE 120 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529889 | Christine Kelley | Physician Assistant | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2643 | 2006-04-25 |
| 1700319977 | Kelly Jo Mcmartin | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-04-05 |
| 1114465135 | Sarah Karyn Myer | Nurse Practitioner | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-02-09 |
| 1750823753 | Mary A Reynolds | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-08 |
| 1366994527 | Tanya Marie Svenddal | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-03 |
| 1710330691 | Tyler Zillmer | Counselor | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2016-07-15 |
| 1396102364 | Alice I Congdon | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-01-21 |
| 1780017442 | Generations Foot and Ankle Clinic | Podiatrist | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2013-08-16 |
| 1134406200 | Christine Zwicky | Physician Assistant | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2011-11-03 |
| 1538325345 | Lyla Veen | Psychiatry & Neurology | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1649807272 | Nathan Daniel Myers | Marriage & Family Therapist | 2612 Carlson Dr Nw, Coon Rapids, MN 55433-1807 | 2020-03-24 |
| 1215304738 | Bruce A. Johnson | Marriage & Family Therapist | 425 Coon Rapids Blvd., Coon Rapids, MN 55433 | 2015-09-01 |
| 1497151385 | Nicole M Shaffer | Marriage & Family Therapist | 2369 109th Ave Nw, Coon Rapids, MN 55433-4156 | 2014-11-05 |
| 1346315405 | Bradley K. Lambson, Pllc | Marriage & Family Therapist | 1635 Coon Rapids Blvd Nw, Suite 220, Coon Rapids, MN 55433-4779 | 2006-11-22 |
| 1801977863 | Suzanne Maxine Kelly | Marriage & Family Therapist | 2520 Coon Rapids Blvd Nw Ste 260, Coon Rapids, MN 55433-3908 | 2006-10-18 |
| 1245861798 | Sarah Elizabeth Parker | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-02-03 |
| 1780230789 | Andrew Phillip Shold | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2019-08-15 |
| 1891250163 | Patricia Sandkamp | Marriage & Family Therapist | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2019-01-31 |
| 1184191165 | James B Benda | Marriage & Family Therapist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-29 |
| 1871071985 | Ariel Pavelka | Marriage & Family Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2018-07-31 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on STEPHANIE FISH.
| 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.