KELLY FERN (NPI# 1891240867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891240867 |
| Entity Type | Individual |
| Full Name | KELLY FERN |
| Practice Address |
15650 Cedar Ave Apple Valley MN 55124-7283 |
| Mailing Address |
1320 S Frontage Rd Hastings MN 55033-2684 |
| Practice Telephone | 6126726999 |
| Mailing Telephone | 6125000905 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3326 | MN | Behavioral Health & Social Service Providers |
| Street Address |
15650 CEDAR AVE |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786564 | Brian C Weitz | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2005-08-03 |
| 1225524093 | Michelle Thuy Wong | Pharmacist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-07-05 |
| 1326532755 | Brent Risser | Health Educator | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-06-19 |
| 1104278365 | April Coming Hay | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-07-11 |
| 1417326778 | Andrea Bruns | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2015-09-16 |
| 1639574619 | Zachary Bolin | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2014-11-03 |
| 1760884928 | Lauren Elizabeth Gibbons | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124 | 2014-09-19 |
| 1396009247 | Nana A Wilmot-desouza | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2012-06-26 |
| 1336430453 | Megan Pence | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2011-04-23 |
| 1295054211 | Fairview Health Services | Clinic/Center | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878927 | Judith Ann Richardson-mahre | Marriage & Family Therapist | 15699 Highview Dr, Apple Valley, MN 55124-7001 | 2020-10-09 |
| 1841731544 | Dawn Garrido | Marriage & Family Therapist | 21823 Pahute Rd, Apple Valley, CA 92308-7210 | 2017-03-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1982012837 | Margaret Goldman | Marriage & Family Therapist | 18231 Us Highway 18 Ste 8, Apple Valley, CA 92307-2213 | 2014-07-23 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| 1497176903 | Jonathan Phillip Wilson | Marriage & Family Therapist | 20380 Shoshonee Rd, Apple Valley, CA 92307-5604 | 2013-12-31 |
| 1144588591 | Tamera Rae Mensink | Marriage & Family Therapist | 7600 143rd St W, Suite 300, Apple Valley, MN 55124-5528 | 2012-04-23 |
| 1639440738 | Leslie Ann Moran | Marriage & Family Therapist | 15050 Cedar Ave. South, #266, Apple Valley, MN 55124 | 2012-01-20 |
| 1194010702 | Brian Jon Carlson | Marriage & Family Therapist | 18888 Hwy 18 Ste 201, Apple Valley, CA 92307-9230 | 2011-06-10 |
| 1174815864 | Wendi M. Anderson | Marriage & Family Therapist | 6950 146th St W Ste 100, Apple Valley, MN 55124 | 2011-05-12 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on KELLY FERN.
| 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.