AMANDA ROSE HERNANDEZ (NPI# 1053797530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053797530 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE HERNANDEZ |
| Credential | LADC LMFT |
| Practice Address |
652 Bielenberg Dr Ste 104 Woodbury MN 55125-4419 |
| Practice Telephone | 6519833348 |
| Practice Fax Number | 6519250610 |
| Mailing Telephone | 6519833348 |
| Mailing Fax Number | 6519250610 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303413 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 3275 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159812 | Amanda Cristina Hernandez | Occupational Therapy Assistant | 14400 Luray Rd, Southwest Ranches, FL 33330-3420 | 2019-02-04 |
| 1801369202 | Amanda Hernandez | Doula | 1038 Clairborne St, Holiday, FL 34690-5935 | 2019-01-08 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1497255921 | Amanda Joy Hernandez | Behavioral Analyst | 17650 Nw 73rd Ave Apt 208, Hialeah, FL 33015-6232 | 2018-02-21 |
| 1730696139 | Amanda R Hernandez | Licensed Practical Nurse | 13 Flintlock Dr, Shirley, NY 11967-2616 | 2018-01-08 |
| 1881032753 | Amanda Raeann Hernandez | Social Worker | 165 Christy Dr, Beulaville, NC 28518-7711 | 2013-06-12 |
| 1598023913 | Amanda Lebrija Hernandez | Nurse Practitioner | 3600 W Orange Grove Rd, Space # 34, Tucson, AZ 85741-2824 | 2012-04-24 |
| 1548562739 | Amanda Marie Hernandez | Counselor | 6363 Dezavala, San Antonio, TX 78249 | 2010-11-22 |
| 1053560334 | Amanda Yesenia Hernandez | Student in an Organized Health Care Education/Training Program | 39155 Liberty St Ste A110, Fremont, CA 94538-1513 | 2008-09-11 |
| 1710019328 | Amanda Hernandez | Case Manager/Care Coordinator | 13027 Goleta St, Pacoima, CA 91331-3247 | 2007-03-09 |
| Street Address |
652 BIELENBERG DR STE 104 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407943 | Hannah Spike Noel | Counselor | 652 Bielenberg Dr Ste 104, Woodbury, MN 55125-4416 | 2020-11-05 |
| 1417599382 | Lauren Gavin | Social Worker | 652 Bielenberg Dr Ste 104, Woodbury, MN 55125-4416 | 2019-10-11 |
| 1447753843 | Alexis Anttila | Marriage & Family Therapist | 652 Bielenberg Dr Ste 104, Woodbury, MN 55125 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
| 1326587023 | Raymond Kennedy Md Pa | Marriage & Family Therapist | 9680 Tamarack Rd # 100, Woodbury, MN 55125-2617 | 2017-02-15 |
| 1326412362 | Pamela Lynn Graber | Marriage & Family Therapist | 8154 Enclave Rd, Woodbury, MN 55125-3032 | 2015-11-13 |
| 1356731368 | Erin Pash | Marriage & Family Therapist | 6949 Valley Creek Rd. #220, Woodbury, MN 55125 | 2015-01-28 |
| 1992047757 | Beth W Ruske | Marriage & Family Therapist | 3 S Broad St Ste 3b, Woodbury, NJ 08096-4627 | 2013-03-20 |
| 1538407150 | Valentine Counseling Services | Marriage & Family Therapist | 6043 Hudson Rd Ste 140p, Woodbury, MN 55125-1030 | 2013-01-17 |
| 1679877252 | Danielle Alyssa Carlson | Marriage & Family Therapist | 6949 Valley Creek Rd Ste 220, Woodbury, MN 55125-2258 | 2010-12-22 |
| 1366761231 | Virginia L. Olson | Marriage & Family Therapist | 1937 Woodlane Drive, Suite 209, Woodbury, MN 55125-4044 | 2010-05-18 |
| 1871815506 | Traci Astrid Valentine | Marriage & Family Therapist | 6053 Hudson Rd Ste 152, Woodbury, MN 55125-1015 | 2010-02-22 |
| 1003042227 | Elizabeth Leah Bunovsky | Marriage & Family Therapist | 51 Weekeepeemee Rd, Woodbury, CT 06798-2002 | 2009-06-02 |
| Find all providers in WOODBURY | ||||
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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.