MARY ANNETTE FREITAG (NPI# 1992369664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992369664 |
| Entity Type | Individual |
| Full Name | MARY ANNETTE FREITAG |
| Credential | LPCC |
| Practice Address |
3450 Oleary Ln Eagan MN 55123-2340 |
| Mailing Address |
195 Dunlap St S Apt 23 Saint Paul MN 55105-2765 |
| Practice Telephone | 6514540114 |
| Mailing Telephone | 6125813291 |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1997 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447301908 | Mary G Freitag | Psychologist | 10480 Perkins Ave N, Stillwater, MN 55082-9273 | 2007-01-12 |
| 1770569998 | Mary Lou Freitag | Optometrist | 2001 46th Ave, Greeley, CO 80634-3250 | 2005-12-20 |
| 1265463137 | Mary Freitag | Psychologist | University of Minnesota Physicians, 2312 South 6th Street, Suite F256 / 2b West, Minneapolis, MN 55454 | 2006-07-06 |
| Street Address |
3450 OLEARY LN |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366167 | Patrice Lauer-roberts | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2005-12-08 |
| 1083224232 | Saoirse Mcmahon | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2020-08-03 |
| 1194334318 | Lisa Joy Rutman | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2020-07-23 |
| 1265065114 | Kaibeh Benson | Nurse Practitioner | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2020-02-19 |
| 1952942476 | Emily J Holton | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-10-06 |
| 1730733098 | Joshua Hampton Goodwin | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-07-25 |
| 1730742792 | Shannon Derfus | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-04-16 |
| 1669930012 | Brian Nelson | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-03-05 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| 1124599345 | Megan Mcteague | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1962932491 | Maliah J Mcgraw | Dentist | 1121 Town Centre Dr Ste 200, Eagan, MN 55123 | 2017-06-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278172 | Eagancare Behavioral Health Services LLP. | Counselor | 1766 Gabbro Trl, Eagan, MN 55122-2919 | 2020-05-29 |
| 1790295459 | Kathryn Susan Kettler | Counselor | 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 | 2017-10-09 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1720365950 | Maureen Ann James | Counselor | 3440 Golfview Dr, #308, Eagan, MN 55123-2439 | 2011-11-16 |
| 1073707147 | Timothy J. Ruden | Counselor | 4640 Slater Rd Ste 120, Eagan, MN 55122-4043 | 2007-08-31 |
| 1588726806 | Mary Anna Palmer | Counselor | 4141 Old Sibley Memorial Hwy, Eagan, MN 55122-1996 | 2006-12-14 |
| 1407943087 | Behavior Solutions Plus, Pa | Counselor | 1301 Corporate Center Dr, Suite 116, Eagan, MN 55121-1298 | 2006-10-06 |
| 1437787488 | Mackenzie Turk | Counselor | 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 | 2020-03-27 |
| 1952942476 | Emily J Holton | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-10-06 |
| Find all providers in EAGAN | ||||
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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.