TWIN CITIES PLAY THERAPY CENTER, LLC (NPI# 1013925312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013925312 |
| Entity Type | Organization |
| Organization Name | TWIN CITIES PLAY THERAPY CENTER, LLC |
| Practice Address |
3440 Federal Dr Suite 140 Eagan MN 55122-3501 |
| Practice Telephone | 6514522305 |
| Practice Fax Number | 6514522796 |
| Mailing Telephone | 6514522305 |
| Mailing Fax Number | 6514522796 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MR. SHAWN MICHAEL BULGATZ (OWNER) |
| Authorized Official Telephone | 6514522305 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
3440 FEDERAL DR SUITE 140 |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396282794 | Lifestream Wellness, LLC | Clinic/Center | 3440 Federal Dr, Suite 140, Eagan, MN 55122-3501 | 2017-01-23 |
| 1790140051 | Danielle Sadler | Acupuncturist | 3440 Federal Dr, Eagan, MN 55122-3501 | 2015-12-30 |
| 1497132971 | Ann Fleming | Marriage & Family Therapist | 3440 Federal Dr, Suite 150, Eagan, MN 55122-3501 | 2015-05-04 |
| 1609285428 | Christina Corwin | Marriage & Family Therapist | 3440 Federal Dr, Suite 150, Eagan, MN 55122-3501 | 2014-08-06 |
| 1922446046 | Lori Mae Dunham Christenson | Massage Therapist | 3440 Federal Dr, Suite 120, Eagan, MN 55122-3501 | 2013-06-11 |
| 1639415771 | Basic Balance Chiropractic | Chiropractor | 3440 Federal Dr, 120, Eagan, MN 55122-3501 | 2012-12-18 |
| 1497014500 | Lantz Chiropractic, Pa | Clinic/Center | 3440 Federal Dr, Suite 120, Eagan, MN 55122-3501 | 2012-05-09 |
| 1174743561 | Shawn Michael Bulgatz | Marriage & Family Therapist | 3440 Federal Dr, Suite 140, Eagan, MN 55122-3501 | 2007-04-26 |
| 1730302647 | Shelly Marie Smith Recer | Chiropractor | 3440 Federal Dr, Suite 120, Eagan, MN 55122-3501 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| 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 |
|---|---|---|---|---|
| 1437750056 | Tanner Zimmerman | Marriage & Family Therapist | 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 | 2020-11-02 |
| 1053937029 | Encompass Hope, LLC | Marriage & Family Therapist | 3460 Washington Dr Ste 109, Eagan, MN 55122-4301 | 2020-06-24 |
| 1043734122 | Jessica Christine Smith | Marriage & Family Therapist | 1960 Cliff Lake Rd Ste 129-260, Eagan, MN 55122-2476 | 2017-07-31 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1316386766 | Denise Eileen Zajac | Marriage & Family Therapist | 4273 Rosemary Ct, Eagan, MN 55123-3047 | 2013-06-19 |
| 1013284645 | Corey Eugene Yeager | Marriage & Family Therapist | 4290 Fox Ridge Rd, Eagan, MN 55122-2253 | 2011-11-28 |
| 1316181845 | Dana Christine Tran | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2009-04-28 |
| 1679786099 | Megan Jennifer Oudekerk | Marriage & Family Therapist | 3440 Federal Dr Ste 150, Eagan, MN 55122-3516 | 2007-05-08 |
| 1528666435 | Jasmine Vasquez | Marriage & Family Therapist | 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 | 2020-10-13 |
| 1275162398 | Jenelle Elizabeth Thorvilson | Marriage & Family Therapist | 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 | 2020-04-02 |
| 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.