BROOKE L. ZUPANCICH (NPI# 1063983146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063983146 |
| Entity Type | Individual |
| Full Name | BROOKE L. ZUPANCICH |
| Credential | MS, LPCC |
| Practice Address |
624 13th St S Virginia MN 55792-3149 |
| Mailing Address |
Po Box 1188 Virginia MN 55792-1188 |
| Practice Telephone | 2187492881 |
| Practice Fax Number | 2187493806 |
| Mailing Telephone | 2187492881 |
| Mailing Fax Number | 2187493806 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
02000 | MN | Behavioral Health & Social Service Providers |
| Street Address |
624 13TH ST S |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487754586 | Karen L. Pajari | Psychiatry & Neurology | 624 13th St S, Virginia, MN 55792-3149 | 2006-09-25 |
| 1497389647 | Laura Larsen | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2020-02-26 |
| 1295200624 | Cassandra Lee Kotnik | Social Worker | 624 13th St S, Virginia, MN 55792-3149 | 2018-10-12 |
| 1104312883 | Drew S. Flaschberger | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2018-07-06 |
| 1124475785 | Enrico Thomas Welsch | Social Worker | 624 13th St S, Virginia, MN 55792-3149 | 2016-05-24 |
| 1013329937 | Rebecca Leaders | Marriage & Family Therapist | 624 13th St S, Virginia, MN 55792-3149 | 2014-05-27 |
| 1609292465 | Sara M Ewing | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2014-03-17 |
| 1255663142 | Kristin Gildseth Erie | Social Worker | 624 13th St S, Range Mental Healthcenter, Virginia, MN 55792-3149 | 2010-02-03 |
| 1770723157 | Sara D Rohr | Social Worker | 624 13th St S, Virginia, MN 55792-3149 | 2009-02-25 |
| 1831313162 | Marianne Geiger Marshall | Marriage & Family Therapist | 624 13th St S, Virginia, MN 55792-3149 | 2007-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406945 | Jennifer Rose Elmberg | Counselor | 225 1st St N Ste 3100b, Virginia, MN 55792-2457 | 2017-09-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1568083764 | Pietro Vincenzo Martucci | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2020-04-29 |
| 1104312883 | Drew S. Flaschberger | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2018-07-06 |
| 1609292465 | Sara M Ewing | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2014-03-17 |
| 1982034765 | Laurel Ellen Hillstrom | Counselor | 624 S. 13th St., Virginia, MN 55792 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
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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.