STELLAR WELLNESS (NPI# 1912536814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912536814 |
| Entity Type | Organization |
| Organization Name | STELLAR WELLNESS |
| Practice Address |
1065 24th Ave Sw Ste 107 Owatonna MN 55060-5063 |
| Mailing Address |
3 Augusta Pl Owatonna MN 55060-2100 |
| Practice Telephone | 5077743147 |
| Mailing Telephone | 5074566123 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | TARA KAY JENO (OWNER) |
| Authorized Official Telephone | 5074566123 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STELLAR WELLNESS CENTER INC. | 2546 East 13th Street, Suite A11, Brooklyn, Ny 11223 |
| Colorado Business Entities | stellar wellness center llc. | 5379 Heatherton Ln., Highlands Ranch, CO 80130 |
| Street Address |
1065 24TH AVE SW STE 107 |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1740660844 | Amy Bartz | Social Worker | 185 Landmark Dr Ne, Owatonna, MN 55060-5702 | 2015-06-03 |
| 1134428667 | Colleen Elaine Solberg | Social Worker | 134 E Vine St Ste 202, Owatonna, MN 55060-2428 | 2011-03-23 |
| 1831739788 | Full Circle Counseling and Wellness, PC | Social Worker | 140 W Pearl St Ste B3, Owatonna, MN 55060-2354 | 2020-01-08 |
| 1700430832 | Sarita Consuelo Ennis | Social Worker | 610 Florence Ave, Owatonna, MN 55060-4704 | 2019-07-26 |
| 1184119422 | Nate Gendron | Social Worker | 2575 Harvest Ln, Owatonna, MN 55060-4305 | 2018-06-28 |
| 1881133403 | Christine Lynn Gedicke | Social Worker | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2017-02-15 |
| 1033656335 | Katelin Swanson | Social Worker | 2575 Harvest Ln, Owatonna, MN 55060-4305 | 2017-01-24 |
| 1861939480 | Apryl Falk | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1700237625 | Ashley Kiefer | Social Worker | 2575 Harvest Ln, Owatonna, MN 55060-4305 | 2016-06-22 |
| Find all providers in OWATONNA | ||||
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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.