JILL MARIE STANGER (NPI# 1003025008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003025008 |
| Entity Type | Individual |
| Full Name | JILL MARIE STANGER |
| Other Name | JILL MARIE ROOTES |
| Credential | MS, LMFT |
| Practice Address |
1665 Utica Ave S Suite 100 Saint Louis Park MN 55416 |
| Mailing Address |
8170 33rd Ave S Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 9525412500 |
| Practice Fax Number | 9525412539 |
| Mailing Telephone | 9525412500 |
| Mailing Fax Number | 9525412539 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1535 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 326922000 | 05 |
| Street Address |
1665 UTICA AVE S SUITE 100 |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427263243 | Karen Louise Campbell | Psychologist | 1665 Utica Ave S, Suite 100, Saint Louis Park, MN 55416-3476 | 2007-05-14 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| 1578704862 | Anne Tyler | Marriage & Family Therapist | 4500 Park Glen Rd Ste 150, Saint Louis Park, MN 55416-2605 | 2009-03-16 |
| 1144779141 | Seneca June Krueger | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, Saint Louis Park, MN 55416-2929 | 2016-10-02 |
| 1760839716 | Mathew Meyers | Marriage & Family Therapist | 1000 Shelard Pkwy, Suite 220, Saint Louis Park, MN 55426-1053 | 2016-05-19 |
| 1619340908 | Jill Marthaler | Marriage & Family Therapist | 5100 Gamble Dr, Behavioral Health, Saint Louis Park, MN 55416-1521 | 2015-11-09 |
| 1841612389 | Patricia Elizabeth Falvey | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, Saint Louis Park, MN 55416-2929 | 2014-01-18 |
| 1669807715 | Jill Hansen | Marriage & Family Therapist | 5100 Gamble Dr Ste 100, Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2013-09-09 |
| 1780997056 | Kat Christine Ludwig | Marriage & Family Therapist | 5407 Excelsior Blvd Ste B, Saint Louis Park, MN 55416-2932 | 2010-07-15 |
| 1598724957 | Janet Ann Root | Marriage & Family Therapist | 5100 Gamble Dr, Ste 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295491 | Wanda Baker | Marriage & Family Therapist | 653 Galtier St Apt 109, Saint Paul, MN 55103-1793 | 2020-11-02 |
| 1437750056 | Tanner Zimmerman | Marriage & Family Therapist | 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 | 2020-11-02 |
| 1063012839 | Rosemary Ann Senjem | Marriage & Family Therapist | 305 Greeley St S Ste 105, Stillwater, MN 55082-7029 | 2020-10-29 |
| 1609476738 | Shelly Melroe | Marriage & Family Therapist | 700 Twelve Oaks Center Dr Ste 700, Wayzata, MN 55391-4405 | 2020-10-28 |
| 1023617933 | Rachael Lee Cavegn | Marriage & Family Therapist | 4969 Hillvale Ave N, Oakdale, MN 55128-2212 | 2020-10-21 |
| 1669071528 | Lineage Counseling | Marriage & Family Therapist | 4900 Highway 169 N Ste 115, New Hope, MN 55428-4058 | 2020-10-21 |
| 1528667631 | Brittany L Denucci | Marriage & Family Therapist | 324 W Superior St Ste 828, Duluth, MN 55802-1719 | 2020-10-20 |
| 1841899184 | Michelle Suarez | Marriage & Family Therapist | 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 | 2020-10-19 |
| 1649878927 | Judith Ann Richardson-mahre | Marriage & Family Therapist | 15699 Highview Dr, Apple Valley, MN 55124-7001 | 2020-10-09 |
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55416 |
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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.