BENEDICT A WALZ


Address: 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, MN 56301-4515
Phone: 3202525781

BENEDICT A WALZ (NPI# 1043376635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043376635
Entity Type Individual
Full Name BENEDICT A WALZ
Credential MS MDV MAC LADC LMFT
Practice Address 3333 W Division St
Midtown Square Suite # 210
Saint Cloud
MN 56301-4515
Practice Telephone 3202525781
Practice Fax Number 3202525001
Mailing Telephone 3202525781
Mailing Fax Number 3202525001
Enumeration Date 2006-12-28
Last Update Date 2010-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
#302151 Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
302151 MN Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
WI Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
#1763 LMFT MN Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health 1763 & 302 Agencies
N 251S00000X Community/Behavioral Health 1763 Agencies

Office Location

Street Address 3333 W DIVISION ST
MIDTOWN SQUARE SUITE # 210
City SAINT CLOUD
State MN
Zip Code 56301-4515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952307191 Select Hearing Aid Center Hearing Aid Equipment 3333 W Division St, Ste 115, Saint Cloud, MN 56301-4548 2005-06-22
1396259883 Gerhardson Chiropractic LLC Chiropractor 3333 W Division St, Saint Cloud, MN 56301-4515 2017-11-21
1598296840 Ashley Anderson Social Worker 3333 W Division St, Suite: 217, Saint Cloud, MN 56301-4515 2017-03-27
1821463860 Centracare Clinic Clinic/Center 3333 W Division St, Saint Cloud, MN 56301-4515 2015-12-02
1871823377 Donald Lawrence Glatzmaier Counselor 3333 W Division St, Suite 210, Saint Cloud, MN 56301-4515 2010-01-05
1053576546 Central Minnesota Mental Health Center Counselor 3333 W Division St, Suite 219, Saint Cloud, MN 56301-4515 2008-07-23
1578728432 Lupkes Family Chiropractic LLC Clinic/Center 3333 W Division St, Ste 101, Saint Cloud, MN 56301-4515 2008-07-21
1578765988 Jason Lupkes Chiropractor 3333 W Division St, Ste. #101, Saint Cloud, MN 56301-4515 2007-06-05
1639384043 Central Minnesota Mental Health Center Counselor 3333 W Division St, Suite 217, Saint Cloud, MN 56301-4515 2007-05-11
1306960315 Diane Dockendorf Opatz Social Worker 3333 W Division St, Saint Cloud, MN 56301-4515 2007-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013528207 Stephen Sean Jenkins Psychologist 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 2020-08-12
1316453442 Amber Grengs Behavior Technician 3721 23rd St S Ste 201, Saint Cloud, MN 56301 2017-12-27
1124532999 Ashley Aune Lewandowski Chiropractor 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 2017-11-30
1962923680 Inspired By You Home Care, LLC Home Health 2700 1st Street N, Suite 202, St Cloud, MN 56301 2017-07-03
1487189569 Brett Finberg Pharmacy Technician 141 33rd Ave South, Saint Cloud, MN 56301 2017-04-26
1629513221 Robert Schug Pharmacy Technician 141 33rd Ave S, Saint Cloud, MN 56301 2017-01-05
1649726910 Rebecca Hoffman Pllc Specialist 3400 1st Street N, Suite 300, St. Cloud, MN 56301 2016-08-28
1558728600 Language Partners Interpreter 400 1st St S, Suite 600, St. Cloud, MN 56301 2016-01-20
1679981856 Quality Homecare Services Inc Home Health 3450 W Germain St, Ste 206, St Cloud, MN 56301 2014-07-31
1063759546 Grand St Paul Cvs, LLC Durable Medical Equipment & Medical Supplies 2420 Division St, St. Cloud, MN 56301 2013-01-03
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962049387 Catalyst Counseling Associates LLC Community/Behavioral Health 1320 Louisiana Ave Ste A, Saint Cloud, FL 34769-4116 2019-12-04
1497204713 Debra Schmidt, LLC Community/Behavioral Health 2700 1st St N Ste 209, Saint Cloud, MN 56303-4584 2016-09-28
1225372832 Rising Up, LLC Community/Behavioral Health 3315 Roosevelt Rd Ste 200a, Saint Cloud, MN 56301-6269 2012-11-20
1275785610 Cook Counseling Services Community/Behavioral Health 101 7th Ave S Ste 200, Saint Cloud, MN 56301-5010 2008-10-16
1932309267 Midwest Eap Solutions Community/Behavioral Health 1010 W Saint Germain St, Suite 580, Saint Cloud, MN 56301-3406 2007-07-24
1942327432 Catholic Charities of The Diocese of St Cloud Community/Behavioral Health 1730 7th Ave S, Saint Cloud, MN 56301-5711 2007-03-22
1740304187 Rem Central Lakes, Inc. Community/Behavioral Health 2700 1st St N Ste 103, Saint Cloud, MN 56303-4202 2007-03-19
1861007692 Circle of Happiness LLC Community/Behavioral Health 44 28th Ave N Lowr 46, Saint Cloud, MN 56303-4588 2020-09-09
1689286650 Midpoint Support Services L.L.C. Community/Behavioral Health 1026 4th St Se Ste 202, Saint Cloud, MN 56304-1371 2020-08-20
1083187579 Seal Dwyer Counseling LLC Community/Behavioral Health 14 7th Ave N, Saint Cloud, MN 56303-4753 2019-01-07
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Competitor

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City SAINT CLOUD
Zip Code 56301

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Dataset Information

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.

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