REBECCA BROOKS AMUNDSON (NPI# 1831750322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831750322 |
Entity Type | Individual |
Full Name | REBECCA BROOKS AMUNDSON |
Other Name | REBECCA BROOKS BERG |
Credential | LMFT |
Practice Address |
570 Professional Drive Northfield MN 55057 |
Mailing Address |
570 Professional Dr Northfield MN 55057-2756 |
Practice Telephone | 5073013412 |
Practice Fax Number | 5073013308 |
Mailing Telephone | 5073013412 |
Mailing Fax Number | 5073013308 |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 3878 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | LMFT | 3878 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
17305 Cedar Ave Ste #230, Lakeville, MN 550445505 | 5073013412 | 5073013308 |
301 Main St, New Prague, MN 56071 | 5073013412 | 5073013308 |
Street Address |
570 PROFESSIONAL DRIVE |
City | NORTHFIELD |
State | MN |
Zip Code | 55057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235764895 | Robert Granquist | Counselor | 570 Professional Drive, Northfield, MN 55057 | 2020-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639734635 | Benedictine Living Community of Northfield, LLC | Assisted Living Facility | 2030 North Avenue, Northfield, MN 55057 | 2019-05-06 |
1053798637 | Kevin Cassin | Optometrist | 2019 Jefferson Rd Ste A, Northfield, MN 55057 | 2015-05-02 |
1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
1689804783 | Angela Lynn Burt | Occupational Therapist | 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 | 2009-07-23 |
1659519106 | Heidi Lee Auge | Physical Therapist | 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 | 2009-01-21 |
1639326689 | Tina Swenson | Speech-Language Pathologist | 1 Northfield, Northfield, MN 55057 | 2008-08-21 |
1356567739 | Eric Allen Cram | Chiropractor | 158 Water St. N, Suite 2, Northfield, MN 55057 | 2007-04-17 |
1407072689 | Justine Faye Politz | Nurse Practitioner | Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 | 2007-04-17 |
1518080399 | John Jacques Hilo | Chiropractor | 158 Water St. N., Suite 2, Northfield, MN 55057 | 2007-04-09 |
1639290901 | Stacey A Zell | Respiratory Therapist, Certified | 2000 North Avenue, Northfield Hospital, Northfield, MN 55057 | 2007-04-03 |
Find all providers in zip 55057 |
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 |
---|---|---|---|---|
1932572856 | Hannah Williams | Marriage & Family Therapist | 507 Professional Dr, Northfield, MN 55057-2756 | 2015-11-02 |
1861622110 | Patricia Richardson Msw, Licsw, Lmft, Ltd | Marriage & Family Therapist | 401 Division St S Ste C, Northfield, MN 55057-2096 | 2009-07-21 |
1578585527 | Paula Joy Detjen | Marriage & Family Therapist | 706 Division St S, Northfield, MN 55057-2427 | 2006-07-25 |
1417511759 | Lindsey Jerome Zemanek | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2019-04-23 |
1588128136 | Sheila L Salo-seifert | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2019-01-29 |
1356839997 | Jennifer Rhein | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2018-04-30 |
1720592322 | Terra Knoble | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2017-11-20 |
1811431356 | Jennifer Simpson-dahl | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2016-12-16 |
1942605696 | Susan Arnold | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2014-10-23 |
1801297577 | Doreen Kudrle | Marriage & Family Therapist | 570 Professional Dr, Northfield, MN 55057-2756 | 2014-09-11 |
Find all providers in NORTHFIELD |
City | NORTHFIELD |
Zip Code | 55057 |
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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.