DR. ROGER ASHMAN BALLOU (NPI# 1609959006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609959006 |
| Entity Type | Individual |
| Full Name | DR. ROGER ASHMAN BALLOU |
| Credential | PHD, LMFT, LPC |
| Practice Address |
2900 Thomas Ave S Apartment 1526 Minneapolis MN 55416-4477 |
| Practice Telephone | 6512467592 |
| Mailing Telephone | 6512467592 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 203 | NH | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 1130 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 723 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2900 THOMAS AVE S APARTMENT 1526 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336682673 | Strauman Youde Chiropractic | Chiropractor | 2900 Thomas Ave S, Suite 330, Minneapolis, MN 55416-4477 | 2016-11-18 |
| 1194036889 | Baheyeldin M Salem | Pediatrics | 2900 Thomas Ave S, Apt # 2230, Minneapolis, MN 55416-4477 | 2010-06-28 |
| 1750600755 | Marko Anton Sabolich | Pathology | 2900 Thomas Ave S, Apt 2032, Minneapolis, MN 55416-4477 | 2010-05-31 |
| 1780718882 | Strauman Holistic Chiropractic | Chiropractor | 2900 Thomas Ave S, Suite 330, Minneapolis, MN 55416-4477 | 2007-03-14 |
| 1033243167 | Lordex Spine Institute of Minneapolis, LLC | Chiropractor | 2900 Thomas Ave S, Suite 330, Minneapolis, MN 55416-4477 | 2007-03-14 |
| 1770648206 | Benjamin Lee Berkey | Chiropractor | 2900 Thomas Ave S, Suite 330, Minneapolis, MN 55416-4477 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1851904536 | Eric Anfinson | Marriage & Family Therapist | 2835 Emerson Ave S # Cn316, Minneapolis, MN 55408-1388 | 2020-08-24 |
| 1649806118 | Jessica Diane Finney | Marriage & Family Therapist | 314 Clifton Ave Ste 301, Minneapolis, MN 55403-3235 | 2020-03-17 |
| 1912545146 | Andrea Queen Langford | Marriage & Family Therapist | 1201 W Broadway Ave, Minneapolis, MN 55411-2532 | 2019-12-18 |
| 1780229567 | Melanie Faulhaber | Marriage & Family Therapist | 5645 13th Ave S, Minneapolis, MN 55417-2526 | 2019-11-15 |
| 1144877143 | Transcend Psychotherapy, Pllc | Marriage & Family Therapist | 1900 Hennepin Ave Ste 201205, Minneapolis, MN 55403-3160 | 2019-08-23 |
| 1336795301 | Kazoua Vang | Marriage & Family Therapist | 2021 E Hennepin Ave Ste 475, Minneapolis, MN 55413-1870 | 2019-08-14 |
| 1013569649 | Kellie Lynn Kamm | Marriage & Family Therapist | 525 Portland Avenue, Mc 963, Minneapolis, MN 55415-1533 | 2019-07-13 |
| 1811557184 | Christina Maria Jobelius | Marriage & Family Therapist | 3012 W 44th St, Minneapolis, MN 55410-1553 | 2019-06-18 |
| 1932769403 | Sarita M Tabor | Marriage & Family Therapist | 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2047 | 2019-06-17 |
| 1265992994 | Apollo Counseling Inc. | Marriage & Family Therapist | 6909 Mccauley Trl S, Minneapolis, MN 55439-1068 | 2019-03-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
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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.