LISA KENDRICK (NPI# 1578952958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578952958 |
| Entity Type | Individual |
| Full Name | LISA KENDRICK |
| Practice Address |
13100 Wayzata Blvd Ste 200 Minnetonka MN 55305-1810 |
| Mailing Address |
7525 Mitchell Rd Ste 100 Eden Prairie MN 55344-1959 |
| Practice Telephone | 9522062040 |
| Practice Fax Number | 9522062041 |
| Mailing Telephone | 9522242282 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
2182 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7525 Mitchell Rd, Ste 100, Eden Prairie, MN 553441959 | 9522242282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245622273 | Lisa Kendrick | Contractor | 483 N Aviation Blvd, 61 Medical Squadron Laafb, El Segundo, CA 90245-2808 | 2015-02-27 |
| Street Address |
13100 WAYZATA BLVD STE 200 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841400579 | Craig Carlson | Psychologist | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2007-05-23 |
| 1508471624 | Amy Beth Butler Bleeker | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2020-09-15 |
| 1093353641 | Colleen Longhenry | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-12-13 |
| 1346882164 | Brandon Jacob Rehnelt | Marriage & Family Therapist | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-10-14 |
| 1104476290 | Audrey Grossman | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-09-19 |
| 1285192682 | Ann Marget Herron | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-03-05 |
| 1689132185 | Patrick Schoenecker | Nurse Practitioner | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-03-04 |
| 1962968065 | Emily Olson | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2019-02-13 |
| 1801371273 | Karie Amstutz | Marriage & Family Therapist | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2018-10-01 |
| 1821572025 | Robert Scott Kampa | Counselor | 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063952778 | Jennifer Petzoldt | Counselor | 5860 Baker Rd, Minnetonka, MN 55345-5903 | 2017-02-28 |
| 1750693263 | Jane Lee Allen | Counselor | 5710 Baker Road, Minnetonka, MN 55345 | 2010-07-13 |
| 1972755114 | Jesse Leaf Maistrovich | Counselor | 5125 County Road 101, Suite 300, Minnetonka, MN 55345-4156 | 2008-10-21 |
| 1427214600 | Elizabeth Mcfadden | Counselor | 13911 Ridgedale Dr Ste 330, Minnetonka, MN 55305-1775 | 2008-08-06 |
| 1306454012 | Alyssa Egersett | Counselor | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2020-07-20 |
| 1770102733 | Janna Marie Schriber | Counselor | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2020-04-10 |
| 1902437627 | John Robert Nord | Counselor | 10505 Wayzata Blvd Ste 101, Minnetonka, MN 55305-1507 | 2020-01-31 |
| 1114567856 | Sarva Psychotherapy and Wellness LLC | Counselor | 10501 Wayzata Blvd Ste 204, Minnetonka, MN 55305-1519 | 2020-01-10 |
| 1558902536 | Kelsea Rose Schneider | Counselor | 5710 Baker Rd, Minnetonka, MN 55345-5901 | 2019-10-01 |
| 1043864838 | Jamie L.k. Rohwer | Counselor | 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2019-07-30 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on LISA KENDRICK.
| 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.