ALEXA CONNOLLY (NPI# 1639610207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610207 |
| Entity Type | Individual |
| Full Name | ALEXA CONNOLLY |
| Credential | LPCC |
| Practice Address |
714 W College St Duluth MN 55811-4906 |
| Mailing Address |
714 W College St Northwood Children's Services Duluth MN 55811-4906 |
| Practice Telephone | 2183368950 |
| Mailing Telephone | 2183368950 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01477 | MN | Behavioral Health & Social Service Providers |
| Street Address |
714 W COLLEGE ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922103712 | Joseph William Wotruba | Psychologist | 714 W College St, Duluth, MN 55811-4906 | 2006-09-14 |
| 1194283945 | Nicole J. Dickison | Counselor | 714 W College St, Duluth, MN 55811-4906 | 2019-03-11 |
| 1134652068 | Ashely Skadsem | Counselor | 714 W College St, Duluth, MN 55811-4906 | 2017-04-07 |
| 1679014179 | Northwood Children's Services | Community/Behavioral Health | 714 W College St, Duluth, MN 55811-4906 | 2017-03-16 |
| 1932503661 | Lisa Harig | Social Worker | 714 W College St, Duluth, MN 55811-4906 | 2014-10-08 |
| 1104256155 | Daniel Hurley | Marriage & Family Therapist | 714 W College St, Duluth, MN 55811-4906 | 2013-11-12 |
| 1225315005 | Amy Sue Fullerton | Counselor | 714 W College St, Duluth, MN 55811-4906 | 2011-11-08 |
| 1801187257 | Laura Jean Stevens | Marriage & Family Therapist | 714 W College St, Duluth, MN 55811-4906 | 2011-04-20 |
| 1720308562 | Dan Lee Bowman | Social Worker | 714 W College St, Duluth, MN 55811-4906 | 2010-06-03 |
| 1750589966 | Malcolm L. Mccutcheon | General Practice | 714 W College St, Duluth, MN 55811-4906 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796608 | Shakeia Brodie | Counselor | 6290 Abbotts Bridge Rd Ste 304, Duluth, GA 30097-1750 | 2020-09-25 |
| 1891324588 | The Lighthouse Behavior Health Center LLC | Counselor | 4099 Buckingham Pl, Duluth, GA 30096-4271 | 2020-04-03 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1194368860 | Anine Patrice Jensen | Counselor | 101 W 2nd St Ste 101, Duluth, MN 55802-5021 | 2019-10-24 |
| 1043875164 | Individual Services | Counselor | 114 W Superior St, Duluth, MN 55802-3000 | 2019-05-03 |
| 1285107029 | Tanya Zeiliger | Counselor | 2601 Cannon Farm Ln, Duluth, GA 30097-4317 | 2019-01-04 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1720572886 | Jennifer Dreibelbis Hama | Counselor | 3460 Summit Ridge Pkwy Ste 503, Duluth, GA 30096-1621 | 2018-06-21 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| Find all providers in DULUTH | ||||
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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.