CEDAR ROSE LUNDGREN (NPI# 1750999629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750999629 |
| Entity Type | Individual |
| Full Name | CEDAR ROSE LUNDGREN |
| Credential | LPC |
| Practice Address |
1611 County Road B W Ste 204 Roseville MN 55113-4053 |
| Mailing Address |
1701 E 1st St Apt 1 Duluth MN 55812-1715 |
| Practice Telephone | 6513404597 |
| Practice Fax Number | 6514931105 |
| Mailing Telephone | 2185900635 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2419 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1611 COUNTY ROAD B W STE 204 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720645443 | Michele Marie Villarreal | Counselor | 720 Sunrise Ave Ste 200c, Roseville, CA 95661-4508 | 2019-05-29 |
| 1346803038 | Anna D Scanlan | Counselor | 1711 County Road B W Ste 108s, Roseville, MN 55113-4036 | 2019-04-17 |
| 1356804702 | Ronald Ramsey | Counselor | 30581 Hidden Pines Ln # 30581, Roseville, MI 48066-7301 | 2019-04-12 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1104384825 | Gene H Burns | Counselor | 300 Harding Blvd Ste 116c, Roseville, CA 95678-2472 | 2019-03-12 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1043775109 | Ryan Jibson | Counselor | 420 Folsom Rd Ste D, Roseville, CA 95678-2767 | 2019-02-04 |
| 1649745837 | Courtney Jean Smith | Counselor | 257 Cedar St, Roseville, CA 95678-2539 | 2018-10-04 |
| 1033655568 | Naquiela Buckner I | Counselor | 1780 Vernon St, Roseville, CA 95678-6311 | 2017-01-08 |
| 1174072979 | Sarah Champany | Counselor | 1830 Sierra Gardens Dr., Roseville, CA 95661 | 2016-09-22 |
| Find all providers in ROSEVILLE | ||||
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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.