JOLLIEN TUSHABE (NPI# 1629549415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629549415 |
| Entity Type | Individual |
| Full Name | JOLLIEN TUSHABE |
| Practice Address |
7010 Highway 7 St Louis Park MN 55426-4223 |
| Mailing Address |
7010 Mn-7 St. Louis Park MN 55426-1809 |
| Practice Telephone | 6128890278 |
| Mailing Telephone | 9528140207 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NON | 181205001452 | 01 |
| Street Address |
7010 HIGHWAY 7 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831236785 | Behavioral Dimensions, Inc. | Psychologist | 7010 Highway 7, St Louis Park, MN 55426 | 2007-01-31 |
| 1477152973 | Kyle Marcus Abatto | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-10-26 |
| 1558976712 | Siara Frazier | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-09-14 |
| 1134733017 | Madeline Flannery | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-09-08 |
| 1457965915 | Bailey Roberts | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-09-02 |
| 1174137905 | Dakota Dewindt | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-08-31 |
| 1457960346 | Emily Benesh | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-07-27 |
| 1891303566 | Stephanie Sarah Benson | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-07-20 |
| 1225654338 | Camryn Beyers | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-06-24 |
| 1649895475 | Kyia Wu | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765874 | Behavioral Health Alliance | Counselor | 5871 Cedar Lake Rd S Ste 202, St Louis Park, MN 55416-1479 | 2020-06-21 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1992277313 | Gail M. Yost and Associates, LLC | Counselor | 5000 W 36th St Ste 207, St Louis Park, MN 55416-2758 | 2018-12-24 |
| 1497204044 | Brenda Brooks | Counselor | 8800 Highway 7 Ste 200, St Louis Park, MN 55426-3955 | 2016-09-23 |
| 1235337999 | Susan Marie Gallucci | Counselor | 5891 Cedar Lake Rd S # 103, St Louis Park, MN 55416-1460 | 2007-07-04 |
| 1427107085 | Alicia Maria Barrs | Counselor | 4023 Sunset Blvd, St Louis Park, MN 55416-4132 | 2007-01-10 |
| 1659458628 | Paul Allen Buckley | Counselor | 7515 Wayzata Blvd Ste 209, St Louis Park, MN 55426-1635 | 2006-11-01 |
| 1356954481 | Travis Scott Michaels | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-08-28 |
| 1710590914 | Melissa Norland | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-08-26 |
| 1003438268 | Abubakar Binji | Counselor | 4236 Park Glen Rd, St Louis Park, MN 55416-4758 | 2020-05-11 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on JOLLIEN TUSHABE.
| 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.