AMBER MAX (NPI# 1881112365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881112365 |
| Entity Type | Individual |
| Full Name | AMBER MAX |
| Credential | LPCC |
| Practice Address |
2030 Rahn Way Eagan MN 55122-2300 |
| Practice Telephone | 6515291976 |
| Mailing Telephone | 6515291976 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC01568 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CC01568 | 05 |
| Street Address |
2030 RAHN WAY |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316181845 | Dana Christine Tran | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2009-04-28 |
| 1912508383 | Kellie Denise Metzger | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-11-03 |
| 1861099194 | Nichole Elizabeth Young | Counselor | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-10-09 |
| 1326654682 | Lindsey Little | Social Worker | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-09-21 |
| 1780217448 | Chayla Fenske | Behavior Technician | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-02-20 |
| 1952940744 | Michelle Lee Manger-plant | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-12-27 |
| 1316586175 | Sarah Rinder | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-12-26 |
| 1659929362 | Danielle Charlene Athmann | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-08-27 |
| 1073074886 | Samantha Kraus | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-03-26 |
| 1083170336 | Erin Margaret-campell Shields | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278172 | Eagancare Behavioral Health Services LLP. | Counselor | 1766 Gabbro Trl, Eagan, MN 55122-2919 | 2020-05-29 |
| 1790295459 | Kathryn Susan Kettler | Counselor | 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 | 2017-10-09 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1720365950 | Maureen Ann James | Counselor | 3440 Golfview Dr, #308, Eagan, MN 55123-2439 | 2011-11-16 |
| 1073707147 | Timothy J. Ruden | Counselor | 4640 Slater Rd Ste 120, Eagan, MN 55122-4043 | 2007-08-31 |
| 1588726806 | Mary Anna Palmer | Counselor | 4141 Old Sibley Memorial Hwy, Eagan, MN 55122-1996 | 2006-12-14 |
| 1407943087 | Behavior Solutions Plus, Pa | Counselor | 1301 Corporate Center Dr, Suite 116, Eagan, MN 55121-1298 | 2006-10-06 |
| 1437787488 | Mackenzie Turk | Counselor | 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 | 2020-03-27 |
| 1952942476 | Emily J Holton | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-10-06 |
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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.