61 EXPERIENCE


Address: 1 Water St W Ste 230, Saint Paul, MN 55107-2002
Phone: 6124189429

61 EXPERIENCE (NPI# 1053948315) 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) 1053948315
Entity Type Organization
Organization Name 61 EXPERIENCE
Practice Address 1 Water St W Ste 230
Saint Paul
MN 55107-2002
Mailing Address 3822 Regent Ave N
Robbinsdale
MN 55422-2019
Practice Telephone 6124189429
Mailing Telephone 6124189429
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Authorized Official Name RYAN ECKDAHL (PRESIDENT)
Authorized Official Telephone 6124189429
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1 WATER ST W STE 230
City SAINT PAUL
State MN
Zip Code 55107-2002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477944809 Marina Castillo Counselor 143 Isabel St. W, Saint Paul, MN 55107 2015-02-06
1134540123 Michelle M Lee Social Worker 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 2013-12-18
1376748574 Mary E. A. Horoshak Physical Therapist 155 S Wabasha St, Suite 130, St. Paul, MN 55107 2007-06-18
1821156050 Amherst H. Wilder Foundation Assisted Living Facility 469 Ada St, Saint Paul, MN 55107 2006-12-04
1407914674 Amherst H. Wilder Foundation Clinic/Center 516 Humboldt Ave, Saint Paul, MN 55107 2006-12-04
1780753681 Chad Randal Vickers Nurse Practitioner 135 Colorado Street East, Saint Paul, MN 55107 2006-11-06
1225122872 Elizabeth E Frost Family Medicine 153 Cesar Chavez Street, St Paul, MN 55107 2006-10-03
1215457890 Elizabeth Smith Zaremba Dietitian, Registered 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 2017-06-23
1619413606 Elizabeth Burgos Social Worker 153 Cesar Chavez St, Saint Paul, MN 55107 2017-01-13
1033561915 Isetta Pierre Marriage & Family Therapist 153 Cesar Chavez St, Saint Paul, MN 55107 2016-07-05
Find all providers in zip 55107

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003453473 Elizabeth Subramaniam Counselor 658 Grand Ave, Saint Paul, MN 55105-3417 2019-12-04
1689217283 Laufenberg Consulting Services Counselor 1619 Dayton Ave Ste 321, Saint Paul, MN 55104-6276 2019-10-26
1841833423 Autism Center Counselor 1821 University Ave W Ste 219, Saint Paul, MN 55104-2892 2019-10-25
1518523497 Angela Marie Blesener Counselor 1821 University Ave W Ste 385, Saint Paul, MN 55104-2872 2019-05-15
1508339821 Integrative Wellness Counseling LLC Counselor 1619 Dayton Ave Ste 112, Saint Paul, MN 55104-6276 2019-01-09
1598233074 Veasna Pho Counselor 777 Raymond Ave, Saint Paul, MN 55114-1522 2018-11-02
1366925828 Amy Stoks Counselor 493 Selby Ave, Saint Paul, MN 55102-1726 2018-09-11
1396225140 Anney Lyons Counselor 1884 Como Ave, Saint Paul, MN 55108-2715 2018-08-20
1073005120 Northstar Mental Health Services LLC Counselor 1932 University Ave W, Saint Paul, MN 55104-3426 2018-06-05
1891294138 Twin Cities Center for Validation and Change Pllc Counselor 790 Cleveland Ave S Ste 211, Saint Paul, MN 55116-3845 2018-02-01
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55107

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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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