MR. ALEXANDER BURBACK (NPI# 1962028316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962028316 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDER BURBACK |
| Practice Address |
700 Commerce Dr Ste 290 Woodbury MN 55125-9256 |
| Mailing Address |
213 Sherburne St N Stillwater MN 55082-4726 |
| Practice Telephone | 6513440820 |
| Mailing Telephone | 6512834170 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
700 COMMERCE DR STE 290 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-9256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609245422 | Lucy Stewart | Social Worker | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2015-09-22 |
| 1538728340 | Emma Leigh Elizabeth Pasiuk | Marriage & Family Therapist | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2019-06-06 |
| 1700449022 | Mara Marie Stommes | Counselor | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2019-04-22 |
| 1790261527 | Christa Hoel | Counselor | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2018-07-15 |
| 1619493863 | Anne Godfrey | Social Worker | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2017-08-18 |
| 1770008476 | Beth Ritchie | Student in an Organized Health Care Education/Training Program | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2017-08-03 |
| 1548718950 | Christopher Houck | Counselor | 700 Commerce Dr Ste 290, Woodbury, MN 55125-9256 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1902361603 | Christine Mammes Mental Health Counseling | Counselor | 2 Guilles Ln, Woodbury, NY 11797-2301 | 2019-02-06 |
| 1568963452 | Jenna Kristen Ness | Counselor | 1160 Sunset Bay, Woodbury, MN 55125-8505 | 2018-02-26 |
| 1316457336 | Christopher Joseph Liggio | Counselor | 537 N. Broad Street, Woodbury, NJ 08051 | 2017-10-04 |
| 1548707300 | Hillman Wellness Center, LLC | Counselor | 744 Main St S, Woodbury, CT 06798-3732 | 2017-01-31 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1871968081 | Dana Hillman | Counselor | 27 Ridgewood Rd, Woodbury, CT 06798-3815 | 2015-12-14 |
| 1851792402 | Brooke Denner | Counselor | 7 Hillcrest Ln, Woodbury, NY 11797-1102 | 2014-09-12 |
| 1609185552 | Jeanne Wolfe | Counselor | 8490 Woodbury Crossing, Woodbury, MN 55125-9433 | 2010-09-27 |
| 1437369121 | Karen Song Johnson-cromwell | Counselor | 38 Cooper St, Woodbury, NJ 08096-4667 | 2007-05-23 |
| Find all providers in WOODBURY | ||||
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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.