JOHN BROSE (NPI# 1871652263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871652263 |
Entity Type | Individual |
Full Name | JOHN BROSE |
Credential | LP, LMFT, ADC |
Practice Address |
3100 W Lake St Suite 210 Minneapolis MN 55416-4527 |
Practice Telephone | 6129256033 |
Practice Fax Number | 6129258496 |
Mailing Telephone | 6129256033 |
Mailing Fax Number | 6129258496 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300760 | MN | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
LP1349 | MN | Behavioral Health & Social Service Providers |
X | 106H00000X | Marriage & Family Therapist | 719 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | UCARE | 10183C154 | 01 |
MN | MEDICA CHOICE | 6120000 | 01 |
MN | BCBS | 68740BR | 01 |
MN | USA NETWORK | 302943 | 01 |
MN | HEALTHPARTNERS | HP19953 | 01 |
MN | OPTUM | 94374 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073835807 | John M Brose | Case Manager/Care Coordinator | 1012 Cicero Dr, Irwin, PA 15642-6517 | 2010-02-21 |
1760545784 | John Adolph Brose | Family Medicine | University Medical Associates Inc., 2nd Floor Parks Hall, Athens, OH 45701 | 2006-12-19 |
1275795429 | John Allen Brose | Dentist | 1336 Creston Park Dr, Janesville, WI 53545-1119 | 2008-06-30 |
Street Address |
3100 W LAKE ST SUITE 210 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55416-4527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417957101 | Ronald James Frederick Jr. | Psychologist | 3100 W Lake St, Suite 107, Minneapolis, MN 55416-4527 | 2005-07-26 |
1235665761 | Nicole Massey | Marriage & Family Therapist | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-05-03 |
1760923940 | Lynn Erika Penney | Counselor | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-03-20 |
1629526405 | Ariel Brinson | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-09-21 |
1952855918 | Roberta Ann Seelen-wolf | Registered Nurse | 3100 W Lake St, 210, Minneapolis, MN 55416-4527 | 2016-08-08 |
1619420817 | Julie Blatz | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-07-25 |
1750736708 | Kiana Joyner | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-04-27 |
1427415082 | Natalie Ann Tobeck | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-01-26 |
1598132953 | Amanda J Ardolf | Counselor | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-09-01 |
1578930293 | Leeann Catherine Lewis | Social Worker | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-08-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
Find all providers in zip 55416 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1366056392 | Brianna Connor | Counselor | 2450 Riverside Ave Bldg Suite140, Minneapolis, MN 55454-1450 | 2020-09-08 |
1144831959 | Brian James Rose | Counselor | 5061 Lyndale Ave S, Minneapolis, MN 55419-1215 | 2020-08-14 |
1740891688 | Jennifer Twa | Counselor | 2104 Stevens Ave, Minneapolis, MN 55404-2533 | 2020-08-13 |
1568072254 | Marian Margaret Spiess | Counselor | 2200 1st Ave S, Minneapolis, MN 55404-3401 | 2020-08-06 |
1689201352 | Alyssa Mary Nyberg | Counselor | 2960 Winnetka Ave N Ste 1010, Minneapolis, MN 55427-2853 | 2020-03-24 |
1497392666 | Kristine Geraldine Hanson | Counselor | 2611 40th Ave S, Minneapolis, MN 55406-1862 | 2019-12-05 |
1265080501 | Carolyn J Niesche | Counselor | 2518 N 2nd St Ste 113, Minneapolis, MN 55411-2259 | 2019-08-29 |
1053966069 | Shane Jensen | Counselor | 610 22nd Ave S, Minneapolis, MN 55454-1315 | 2019-08-06 |
1114584760 | Lynn Marie Allar | Counselor | 2200 E Franklin Ave Ste 200a, Minneapolis, MN 55404-2395 | 2019-05-20 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55416 |
Please comment or provide details below to improve the information on JOHN BROSE.
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.