ALISHA DYBEDAHL (NPI# 1639701782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639701782 |
| Entity Type | Individual |
| Full Name | ALISHA DYBEDAHL |
| Credential | LADC |
| Practice Address |
15251 Pleasant Valley Rd Center City MN 55012-9640 |
| Mailing Address |
2019 57th St Somerset WI 54025-7271 |
| Practice Telephone | 6512134294 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304810 | MN | Behavioral Health & Social Service Providers |
| Street Address |
15251 PLEASANT VALLEY RD |
| City | CENTER CITY |
| State | MN |
| Zip Code | 55012-9640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134195506 | Kathryn M Manning | Psychiatry & Neurology | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2006-02-27 |
| 1730792664 | Amy Vetter | Nurse Practitioner | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-08-29 |
| 1740899756 | Stacie Bistodeau | Nurse Practitioner | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-07-26 |
| 1801422928 | Dustin Brockberg | Psychologist | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-03-20 |
| 1538791694 | Darcey R Copeland | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-02-06 |
| 1225669963 | Janesa Marie Hupke | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-31 |
| 1588295349 | Chantelle Nicole Bordelon | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-30 |
| 1447881214 | Randa N Tchelebi | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-30 |
| 1437623477 | Angela Rempelewert | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2019-01-13 |
| 1295194819 | Recovery Partners, PC At Center City | Psychologist | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902026131 | Gordon R Dodge | Psychologist | 204 Summit Ave, Center City, MN 55012 | 2007-04-30 |
| 1871668384 | Jessica Amy Pierzina | Psychologist | W20298 State Rd. 121, Whitehall, WI 55012 | 2006-11-21 |
| 1972782290 | Gordy's Pharmacy Inc. | Pharmacy | 320 Summit Ave, Center City, MN 55012 | 2007-11-02 |
| 1568529261 | Hazelden Foundation | Substance Abuse Rehabilitation Facility | 15423 Pleasant Valley Rd., Center City, MN 55012-0011 | 2007-01-02 |
| 1013949965 | William F Garrison | Pharmacist | 320 Summit Ave, Center City, MN 55012-0127 | 2006-07-07 |
| 1962506329 | Jeffrey Earl Rivard | Dentist | 420 Grand Ave., Center City, MN 55012-0235 | 2006-09-07 |
| 1487002960 | Tyler Jensen | Dentist | 420 Grand Ave, Center City, MN 55012-3553 | 2016-05-25 |
| 1871954651 | Center Lake Dental, Pa | Clinic/Center | 420 Grand Ave, Center City, MN 55012-3553 | 2016-03-08 |
| 1659408904 | Chisago County Human Services | Public Health or Welfare | 313 N Main St, Rm 239, Center City, MN 55012-7698 | 2007-02-27 |
| 1679767016 | Kent David Smallwood | Psychologist | 15251 Pleasant Valley Rd # Co7, Center City, MN 55012-9640 | 2007-08-29 |
| Find all providers in zip 55012 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791694 | Darcey R Copeland | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-02-06 |
| 1225669963 | Janesa Marie Hupke | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-31 |
| 1588295349 | Chantelle Nicole Bordelon | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-30 |
| 1447881214 | Randa N Tchelebi | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-30 |
| 1811313950 | Nikia M Gustafson | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2014-03-13 |
| 1255597233 | Ann Boyle Gademsky | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2008-07-30 |
| 1639358740 | Darla Faye Kloepffer | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2007-10-25 |
| 1962523670 | Carole Helen Mcneill | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | CENTER CITY |
| Zip Code | 55012 |
Please comment or provide details below to improve the information on ALISHA DYBEDAHL.
| 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.