MRS. CHARLY CANDAS VANGRINSVEN (NPI# 1982077541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982077541 |
| Entity Type | Individual |
| Full Name | MRS. CHARLY CANDAS VANGRINSVEN |
| Credential | B.S.,LADC |
| Practice Address |
1705 Anne St Nw Bemidji MN 56601-6151 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2183335000 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 303368 | MN | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1051960 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1705 ANNE ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-6151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780662544 | Delayna A Nitz | Nurse Practitioner | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2006-01-03 |
| 1609421890 | Christa Vaughan Paramore | Nurse Practitioner | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2019-08-05 |
| 1043783574 | Hannah Wilson | Counselor | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2019-01-08 |
| 1043783996 | Kelli Tobin | Dietitian, Registered | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2019-01-03 |
| 1003392887 | Kayla Joyce Mcclellan | Audiologist | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2018-07-16 |
| 1205328549 | Katherine Ann Smith | Physician Assistant | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2018-06-02 |
| 1184136129 | Megan Ann Ludwick | Dietitian, Registered | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2017-10-31 |
| 1225549132 | Lori Dobson | Social Worker | 1705 Anne St Nw, Bemidji, MN 56601 | 2017-10-18 |
| 1275991952 | Cody Link | Occupational Therapist | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2016-02-09 |
| 1386030542 | Katie Mingo English | Otolaryngology | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2015-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543533 | Taylor Jean Hartje | Counselor | 116 3rd St Nw, Bemidji, MN 56601-3102 | 2020-09-22 |
| 1043783574 | Hannah Wilson | Counselor | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2019-01-08 |
| 1114470416 | Joy Boston | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2016-08-03 |
| 1568860914 | Bobbi Davis | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2014-12-17 |
| 1669759825 | Melinda Lynn Broden | Counselor | 1001 Mississippi Ave Nw, Bemidji, MN 56601-4534 | 2011-11-15 |
| 1093091886 | Daneane Rae Budreau | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2011-10-25 |
| 1124332507 | Rosemarie Johnson | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2010-07-28 |
| 1619152857 | Brian Alan Lietz | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2008-01-07 |
| 1871610410 | Tamara D Rustand | Counselor | 722 15th St Nw, Bemidji, MN 56601 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
| 1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
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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.