MIETUS NP MENTAL HEALTH, LLC (NPI# 1851857106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851857106 |
| Entity Type | Organization |
| Organization Name | MIETUS NP MENTAL HEALTH, LLC |
| Practice Address |
621 W Lake St Minneapolis MN 55408-2949 |
| Mailing Address |
304 Leisurewoods Dr Buda TX 78610-2418 |
| Practice Telephone | 5129440868 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | STACEY THOMPSON MIETUS (SELF-EMPLOYED NURSE PRACTITIONER) |
| Authorized Official Telephone | 5129440868 |
| Authorized Official Credential | APRN, CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
621 W LAKE ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821141888 | Martha Jean Osterberg | Social Worker | 621 W Lake St, Suite 210, Minneapolis, MN 55408-2949 | 2007-01-20 |
| 1821564725 | Megan Mcgregor | Marriage & Family Therapist | 621 W Lake St, Minneapolis, MN 55408-2949 | 2018-10-17 |
| 1740639517 | Patricia Ann White | Social Worker | 621 W Lake St, Minneapolis, MN 55408-2949 | 2016-06-12 |
| 1790158509 | Angela Star | Counselor | 621 W Lake St, Lynlake Bldg #350, Minneapolis, MN 55408-2949 | 2015-11-03 |
| 1467821306 | Richard Laska | Social Worker | 621 W Lake St, Suite 350, Minneapolis, MN 55408-2949 | 2015-09-22 |
| 1760868673 | Heather Mitchell | Social Worker | 621 W Lake St, #350, Minneapolis, MN 55408-2949 | 2015-08-03 |
| 1598152472 | Anne Byer | Psychologist | 621 W Lake St, 350 Lyn-lake Building, Minneapolis, MN 55408-2949 | 2015-04-18 |
| 1750799599 | Lyn-lake Psychotherapy and Wellness, Ltd. | Social Worker | 621 W Lake St, Ste 350, Minneapolis, MN 55408-2949 | 2014-07-24 |
| 1154676278 | Ayan Guhad | Nurse Practitioner | 621 W Lake St, Minneapolis, MN 55408-2949 | 2012-07-14 |
| 1699984211 | Kelly E Grosklags | Social Worker | 621 W Lake St, Suite 209, Minneapolis, MN 55408-2949 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1801404637 | Golden Health LLC | Clinic/Center | 3601 Phillips Pkwy Apt 116, Minneapolis, MN 55426-3800 | 2020-07-17 |
| 1720562812 | Axisspoint Inc | Clinic/Center | 2021 E Hennepin Ave Ste 193, Minneapolis, MN 55413-1773 | 2018-09-24 |
| 1295213759 | Kathleen Healthcare Center | Clinic/Center | 2647 Bloomington Ave, Minneapolis, MN 55407-1187 | 2018-08-06 |
| 1730672106 | Koru Holistic Counseling | Clinic/Center | 314 Clifton Ave Ste 10, Minneapolis, MN 55403-3384 | 2018-06-11 |
| 1043700800 | Roots Therapy & Consulting LLC | Clinic/Center | 2920 Bryant Ave S Ste 112, Minneapolis, MN 55408-2332 | 2018-05-16 |
| 1093216848 | Cure Care Psychotherapy LLC | Clinic/Center | 730 E 38th St Ste 201, Minneapolis, MN 55407-5235 | 2018-02-27 |
| 1801308077 | Nicole J Wolf Phd Lp | Clinic/Center | 4749 Chicago Ave Ste 1a, Minneapolis, MN 55407-4181 | 2017-10-27 |
| 1386953974 | Water's Edge Psychotherapy, LLC | Clinic/Center | 3617 45th Ave S, Minneapolis, MN 55406-2928 | 2010-09-29 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on MIETUS NP MENTAL HEALTH, LLC.
| 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.