JON KONRAD SEABURG (NPI# 1851805758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851805758 |
| Entity Type | Individual |
| Full Name | JON KONRAD SEABURG |
| Credential | LADC , LPCC |
| Practice Address |
2430 Nicollet Ave Minneapolis MN 55404-3461 |
| Practice Telephone | 6128717443 |
| Practice Fax Number | 6128710194 |
| Mailing Telephone | 6128717443 |
| Mailing Fax Number | 6128710194 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
CC01283 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2430 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912099102 | Rachael L Krahn | Psychologist | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2006-09-28 |
| 1922622208 | Michael Veldhuis | Counselor | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2020-06-03 |
| 1154868271 | Birgitte Eppel | Counselor | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2017-01-26 |
| 1255704557 | Christine Pearson | Counselor | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2015-11-09 |
| 1952729949 | Megan Eastman | Social Worker | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2014-04-07 |
| 1194149187 | Kimberly Olson | Counselor | 2430 Nicollet Ave, 2430 Nicollet Ave South, Minneapolis, MN 55404-3461 | 2014-02-11 |
| 1811230162 | Kelly De Leon Bran | Social Worker | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2013-04-04 |
| 1508105222 | Jessica Anderson | Social Worker | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2013-02-01 |
| 1093075566 | Sarah Burns | Social Worker | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2012-05-18 |
| 1447519194 | Joel Hansen | Social Worker | 2430 Nicollet Ave, Minneapolis, MN 55404-3461 | 2012-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| 1366090763 | Healing Therapy LLC | Psychologist | 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 | 2019-08-28 |
| 1891340469 | Karin Fisher | Psychologist | 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 | 2019-08-09 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1689030231 | Oliver Ross Psychology and Consulting LLC | Psychologist | 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 | 2016-01-13 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1841664190 | Lakes Wellness Center LLC | Psychologist | 3248 Stevens Ave, Minneapolis, MN 55408-3214 | 2015-11-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on JON KONRAD SEABURG.
| 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.