JOHN BROSE


Address: 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527
Phone: 6129256033

JOHN BROSE (NPI# 1871652263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Providers JOHN BROSE

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

Office Location

Street Address 3100 W LAKE ST
SUITE 210
City MINNEAPOLIS
State MN
Zip Code 55416-4527

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MINNEAPOLIS
Zip Code 55416

Improve Information

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Dataset Information

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.

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