DR. JENNA LEE BUTH-CROES (NPI# 1962939355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962939355 |
| Entity Type | Individual |
| Full Name | DR. JENNA LEE BUTH-CROES |
| Credential | PSYD |
| Practice Address |
3850 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Mailing Address |
3010 Washington Blvd Cleveland Heights OH 44118-2416 |
| Practice Telephone | 7013675534 |
| Mailing Telephone | 7013675534 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6116 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3850 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659587 | Debra Ann Rustad | Nurse Practitioner | 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 | 2005-06-15 |
| 1386280030 | Melissa Jean Neiert | Social Worker | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-11-18 |
| 1083261101 | Annemarie Rose Kettler | Dietitian, Registered | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-22 |
| 1427601772 | Michaela Rae Schleinz | Occupational Therapist | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-07-16 |
| 1720545627 | Rose Alicia Crider | Dietitian, Registered | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-02-27 |
| 1114435773 | Adam James Uithoven | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-01-17 |
| 1285140442 | Jessica Mae Brabender | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-12-22 |
| 1043729064 | Grace Marie Irish | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-09-21 |
| 1760908131 | Elin Christine Pool | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-08-17 |
| 1912422718 | Kathleen Therese Guinee Holman | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-08-14 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265768337 | Natalie Marie Marr | Psychologist | 6121 Excelsior Blvd, Ste 101a, St Louis Park, MN 55416-2752 | 2009-10-26 |
| 1205038387 | Alyson Mease Vanahn | Psychologist | 4240 Park Glen Rd, St Louis Park, MN 55416 | 2007-06-01 |
| 1669694550 | Deborah Bushway | Psychologist | Parkdale Plaza, 1660 South Hwy 100, St Louis Park, MN 55427 | 2007-05-02 |
| 1508988981 | Sandra Ruth Streitman | Psychologist | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2007-04-04 |
| 1215055587 | Dawn Elizabeth Mcclelland | Psychologist | 1660 S Hwy 100, #428, St Louis Park, MN 55416 | 2007-03-26 |
| 1770636771 | Lydia Gail Roth-laube | Psychologist | 1660 Highway 100 S Ste 142, St Louis Park, MN 55416-1562 | 2007-01-21 |
| 1033208566 | Sharon Kay Ondich | Psychologist | 5353 Gamble Drive, Suite 108, St Louis Park, MN 55416-1539 | 2006-10-12 |
| 1013970250 | Rachel Jane Allyn | Psychologist | 4200 Minnetonka Blvd, St Louis Park, MN 55416-5191 | 2006-04-10 |
| 1275519795 | David Randal | Psychologist | Park Nicollet Clinic Idc, 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2005-12-16 |
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on DR. JENNA LEE BUTH-CROES.
| 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.