JUDITH LOUISE ROSS AGUSTIN (NPI# 1003195082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003195082 |
Entity Type | Individual |
Full Name | JUDITH LOUISE ROSS AGUSTIN |
Credential | M.S., LMFT |
Practice Address |
8100 Penn Ave S Ste 150h Bloomington MN 55431-1346 |
Practice Telephone | 6123146012 |
Mailing Telephone | 6123146012 |
Enumeration Date | 2011-08-09 |
Last Update Date | 2019-06-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 2534 | MN | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | MT2659 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GROUP/BUSINESS ENTITY | 1528451028 | 01 |
Street Address |
8100 PENN AVE S STE 150H |
City | BLOOMINGTON |
State | MN |
Zip Code | 55431-1346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
Find all providers in zip 55431 |
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 |
---|---|---|---|---|
1770092546 | Jessica Parker | Marriage & Family Therapist | 10624 Xavier Ave S, Bloomington, MN 55437-2726 | 2017-09-25 |
1366782336 | Anna Hollerich | Marriage & Family Therapist | 9048 Johnson Ave S, Bloomington, MN 55437-1806 | 2013-02-27 |
1548514136 | Katelyn J Minelli | Marriage & Family Therapist | 1136 W 17th St, Suite B, Bloomington, IN 47404-3002 | 2012-11-03 |
1093061301 | The Minnesota Center for Couples and Family Therapy, LLC | Marriage & Family Therapist | 1120 E 80th St, Suite 200, Bloomington, MN 55420-1462 | 2012-07-24 |
1093088544 | Timothy James Kaehr | Marriage & Family Therapist | 1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232 | 2012-02-14 |
1477786218 | Schuyler Fisk Seager Vi | Marriage & Family Therapist | 1000 E 80th St, Bloomington, MN 55420-1424 | 2009-08-27 |
1740409242 | Erin Elizabeth Leach | Marriage & Family Therapist | 140 W 98th St, Suite 222, Bloomington, MN 55420-4865 | 2007-04-24 |
1073646964 | Joseph D Strano | Marriage & Family Therapist | 2 Whites Pl, Bloomington, IL 61701-1860 | 2007-03-13 |
1639236144 | Heidi D Schmidt | Marriage & Family Therapist | 9201 E Bloomington Fwy Ste Q, Bloomington, MN 55420-3413 | 2007-01-03 |
1497811780 | Peter James Hartwich | Marriage & Family Therapist | 1101 E 78th St, Bloomington, MN 55420-1400 | 2006-12-29 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 55431 |
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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.