DR. DAVID P MIKKELSON (NPI# 1730524927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730524927 |
| Entity Type | Individual |
| Full Name | DR. DAVID P MIKKELSON |
| Credential | LMFT |
| Practice Address |
1800 Colby Dr Forest VA 24551-1872 |
| Mailing Address |
1047 Vista Park Dr Ste A Forest VA 24551-4362 |
| Practice Telephone | 4345151253 |
| Mailing Telephone | 4346162388 |
| Mailing Fax Number | 4346162344 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0717001353 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1800 COLBY DR |
| City | FOREST |
| State | VA |
| Zip Code | 24551-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715869 | Tatiana L. Williams | Marriage & Family Therapist | 1520 Hambledon Loop, Chesapeake, VA 23320-3318 | 2020-09-16 |
| 1386259687 | Brian Cass | Marriage & Family Therapist | 717 Willow Brook Rd, Chesapeake, VA 23320-3552 | 2020-09-14 |
| 1073127684 | Dawn Cherie Aronson | Marriage & Family Therapist | 7828 Ontario Rd, Gainesville, VA 20155-1711 | 2020-09-01 |
| 1922618628 | Sandra Antonia Herek | Marriage & Family Therapist | 11923 Centre St Ste C, Chester, VA 23831-1702 | 2020-08-06 |
| 1063036077 | First Responders and Military Empowerment Services, PC | Marriage & Family Therapist | 25328 Dickens Ln, Capron, VA 23829-2020 | 2020-06-04 |
| 1679195184 | Vanessa Marenco | Marriage & Family Therapist | 10981 Founders Pl, Mechanicsville, VA 23116-5845 | 2020-05-07 |
| 1639798283 | Emily Margaret Brown | Marriage & Family Therapist | 405 N Washington St Ste 310, Falls Church, VA 22046-3460 | 2020-04-14 |
| 1326672502 | Complete Therapeutic Solutions | Marriage & Family Therapist | 4451 Longhill Rd, Williamsburg, VA 23188-1534 | 2020-02-26 |
| 1467085134 | David Christian Steele | Marriage & Family Therapist | 6400 Arlington Blvd Ste 650, Falls Church, VA 22042-2325 | 2020-02-20 |
| 1316583651 | Tamara Marie Allen | Marriage & Family Therapist | 5226 Indian River Rd Ste 100, Virginia Bch, VA 23464-6179 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.