DR. MELANIE NATASHA GABRIELLE HULTGREN (NPI# 1780128306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780128306 |
| Entity Type | Individual |
| Full Name | DR. MELANIE NATASHA GABRIELLE HULTGREN |
| Other Name | MELANIE NATASHA GABRIELLE JACKSON |
| Credential | PHD, LMFT |
| Practice Address |
12301 Whitewater Dr Ste 101 Minnetonka MN 55343-4157 |
| Practice Telephone | 9529996097 |
| Practice Fax Number | 9524260508 |
| Mailing Telephone | 9529996097 |
| Mailing Fax Number | 9524260508 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2456 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1780128306 | 05 |
| Street Address |
12301 WHITEWATER DR STE 101 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033193172 | Laura Ann Jaap | Psychologist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2005-12-02 |
| 1770102733 | Janna Marie Schriber | Counselor | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2020-04-10 |
| 1821644774 | David Brandsrud | Nurse Practitioner | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2019-08-15 |
| 1255840187 | Michaela Marie Bucchianeri | Psychologist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2017-09-22 |
| 1851775308 | Ross Fulton Barr | Psychologist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2015-07-15 |
| 1588094809 | Katherine Whitmire Murphy | Counselor | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2013-11-22 |
| 1083927917 | Kenneth Ray Young Jr. | Psychologist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2010-07-20 |
| 1750575379 | Amber Holmes Isham | Marriage & Family Therapist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 | 2007-08-28 |
| 1669680609 | Christie Ann Wick | Marriage & Family Therapist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2007-05-21 |
| 1699842138 | John Gregory Luehr | Psychiatry & Neurology | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| 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 |
|---|---|---|---|---|
| 1053941435 | Lehrke Therapeutic Services LLC | Marriage & Family Therapist | 14451 Highway 7 Ste 218&219, Minnetonka, MN 55345-3740 | 2020-01-24 |
| 1902436769 | Reuss Therapeutic Services | Marriage & Family Therapist | 14451 Highway 7 Ste 219, Minnetonka, MN 55345-3740 | 2020-01-21 |
| 1063951226 | Melanie Reuss | Marriage & Family Therapist | 14525 Highway 7 Ste 225, Minnetonka, MN 55345-3734 | 2017-02-20 |
| 1922498104 | Alexandra Mccannel | Marriage & Family Therapist | 3505 Moorland Rd, Minnetonka, MN 55345-1318 | 2015-01-27 |
| 1396133013 | Tina Neameyer | Marriage & Family Therapist | 11812 Wayzata Blvd Ste 120, Minnetonka, MN 55343-2012 | 2015-01-05 |
| 1861890543 | Cathy Jo Turner | Marriage & Family Therapist | 10505 Wayzata Blvd Ste 101, Minnetonka, MN 55305-1507 | 2014-12-12 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1245658442 | Kyle Zrenchik | Marriage & Family Therapist | 11800 Wayzata Blvd, Minnetonka, MN 55305-2010 | 2014-04-03 |
| 1710305404 | Moraya Seeger Degeare | Marriage & Family Therapist | 594 Willoughby Way W, Minnetonka, MN 55305-5351 | 2014-03-31 |
| 1700215852 | Cheryl Cornille | Marriage & Family Therapist | 14451 Highway 7, Suite 2a, Minnetonka, MN 55345-3740 | 2013-11-08 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
Please comment or provide details below to improve the information on DR. MELANIE NATASHA GABRIELLE HULTGREN.
| 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.