MAX UTTERBERG (NPI# 1710526181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710526181 |
| Entity Type | Individual |
| Full Name | MAX UTTERBERG |
| Credential | LPCC |
| Practice Address |
7954 University Ave Ne Fridley MN 55432-1860 |
| Practice Telephone | 7637803036 |
| Mailing Telephone | 7637803036 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CC02314 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7954 UNIVERSITY AVE NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679516611 | Deanne Miller | Social Worker | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2006-06-14 |
| 1508481409 | Nicole Michelle Rohrer | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2020-06-16 |
| 1710510888 | Megan Johnson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2020-02-18 |
| 1730725482 | Karen Leta Gillespie | Marriage & Family Therapist | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-11-18 |
| 1881237063 | Jennifer Lawrence | Social Worker | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-21 |
| 1740822303 | Emily Verna Bell | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-15 |
| 1568004323 | Moriah Mueller | Social Worker | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-14 |
| 1477195519 | Natalee E Yeazle | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-10 |
| 1144870981 | Kimberley Zack | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-09-13 |
| 1881243723 | Jeffrey Ronald Hoffman | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510888 | Megan Johnson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2020-02-18 |
| 1639613318 | Fairview Health Services | Counselor | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
| 1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
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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.