ERIK ENERSON (NPI# 1982061727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982061727 |
| Entity Type | Individual |
| Full Name | ERIK ENERSON |
| Practice Address |
3833 Coon Rapids Blvd Suite 120 Coon Rapids MN 55433 |
| Mailing Address |
1900 Silver Lake Road Nw Suite 110 New Brighton MN 55112 |
| Practice Telephone | 7637673350 |
| Mailing Telephone | 6513791718 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304341 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3833 COON RAPIDS BLVD SUITE 120 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356535926 | Kristine Elizabeth Michael | Physician Assistant | 3833 Coon Rapids Blvd, Suite 100, Coon Rapids, MN 55433-2697 | 2007-08-28 |
| 1396167672 | Jillian Schmitz | Nurse Practitioner | 3833 Coon Rapids Blvd, Suite 100, Coon Rapids, MN 55433-2697 | 2014-01-06 |
| 1275853459 | Alysa More | Physician Assistant | 3833 Coon Rapids Blvd, Suite 100, Coon Rapids, MN 55433-2697 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063870905 | Nikisha Lynnette Simmons-maclin | Counselor | 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448-2213 | 2016-02-06 |
| 1235479247 | David Farris Rogge | Counselor | 2473 103rd Ln Nw, Coon Rapids, MN 55433-4528 | 2013-02-28 |
| 1609498666 | Shelby Edevold | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2020-05-13 |
| 1124653290 | Thad Michael Jensen | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2020-03-09 |
| 1902445901 | Amanda Rundell | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2019-12-23 |
| 1811452188 | Renewed Life Counseling, LLC | Counselor | 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448-2213 | 2019-01-31 |
| 1457833204 | Jaclyn Rachelle Rice | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2018-08-29 |
| 1174972715 | Annette Marie Larson | Counselor | 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433-5831 | 2016-06-05 |
| 1487058020 | Melissa Langewisch | Counselor | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2014-10-10 |
| 1427484898 | Luke Goettlicher | Counselor | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2013-09-17 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on ERIK ENERSON.
| 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.