CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC. (NPI# 1679554497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679554497 |
| Entity Type | Organization |
| Organization Name | CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC. |
| Practice Address |
1403 15th Ave Nw Austin MN 55912-1911 |
| Practice Telephone | 5074336482 |
| Practice Fax Number | 5074330097 |
| Mailing Telephone | 5074336482 |
| Mailing Fax Number | 5074330097 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | DR. STANLEY R MILLER (DIRECTOR/PSYCHOLOGIST) |
| Authorized Official Telephone | 5074336482 |
| Authorized Official Credential | PSY.D.,L.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3235 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1265413777 | 05 |
| Street Address |
1403 15TH AVE NW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463590 | Vernon M Lewis | Psychologist | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2005-11-09 |
| 1831528413 | Gina Marie Frank | Counselor | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2013-11-05 |
| 1558510859 | Wapiti Meadows Community Technologies and Services | Case Management | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2008-09-11 |
| 1366690323 | Carlton Frank | Counselor | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2008-09-03 |
| 1649495961 | Wapiti Meadows Community Technologies and Services | Community/Behavioral Health | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2007-04-13 |
| 1629059134 | Mark E Hansen | Psychologist | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2005-11-10 |
| 1265413777 | Stanley R Miller | Psychologist | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2005-11-10 |
| 1417938242 | Jeanne M Allen | Psychologist | 1403 15th Ave Nw, Austin, MN 55912-1911 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1235754201 | Amanda Max Hilberg | Psychologist | 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 | 2020-06-15 |
| 1427682871 | Charnel Hollier | Psychologist | 1500 W 38th St Ste 31, Austin, TX 78731-6318 | 2020-02-25 |
| 1053950329 | Erin G Underbrink Newins | Psychologist | 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 | 2020-01-03 |
| 1629553953 | Pulverman Psychological Services, Pllc | Psychologist | 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 | 2018-10-02 |
| 1770079071 | Donna Carpenter | Psychologist | 3724 Jefferson St Ste 200, Austin, TX 78731-6221 | 2018-07-10 |
| 1942790068 | Julia Jeannette Zenteno-montez | Psychologist | 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 | 2018-05-14 |
| 1558861583 | Dr. Jillian Racine | Psychologist | 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 | 2018-02-16 |
| 1063921708 | Mariel Smith Cannady | Psychologist | 4407 Pack Saddle Pass, Austin, TX 78745-1623 | 2017-09-26 |
| 1386161750 | Jessica A Peller | Psychologist | 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 | 2017-08-27 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC..
| 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.