JESSICA KAY KISLING (NPI# 1073800637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073800637 |
| Entity Type | Individual |
| Full Name | JESSICA KAY KISLING |
| Credential | LPCC |
| Practice Address |
12601 Ridgedale Dr Social Service Center, Level 2 Minnetonka MN 55305-1911 |
| Mailing Address |
5412 Bernard Ave N Crystal MN 55429-3625 |
| Practice Telephone | 6123487379 |
| Mailing Telephone | 6127010963 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC00337 | MN | Behavioral Health & Social Service Providers |
| Street Address |
12601 RIDGEDALE DR SOCIAL SERVICE CENTER, LEVEL 2 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942531009 | Susan Mae Keith | Social Worker | 12601 Ridgedale Dr, Minnetonka, MN 55305-1908 | 2010-01-28 |
| 1962717421 | Jennifer Ann Schnarr | Social Worker | 12601 Ridgedale Dr, Minnetonka, MN 55305-1908 | 2010-08-09 |
| 1376856518 | Cori Christina Boehm | Social Worker | 12601 Ridgedale Dr, Mc- W741, Minnetonka, MN 55305-1911 | 2010-07-16 |
| 1740505593 | Michelle Marie Dubois | Social Worker | 12601 Ridgedale Dr, Minnetonka, MN 55305-1908 | 2010-04-05 |
| 1255654927 | Amber Webb | Social Worker | 12601 Ridgedale Dr, Minnetonka, MN 55305-1908 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390573 | Ashley In Hye Nelson | Counselor | 10641 Greenbrier Rd Apt 201, Minnetonka, MN 55305-3466 | 2020-09-09 |
| 1568001063 | Accra Care | Counselor | 12600 Whitewater Dr Ste 100, Minnetonka, MN 55343-9450 | 2019-12-31 |
| 1588122063 | Turnage Therapeutic Services Inc | Counselor | 200 Hopkins Xrd, Minnetonka, MN 55305-1461 | 2019-03-04 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1326446998 | Enakshi Choudhuri | Counselor | 14525 Highway 7 Ste 255, Minnetonka, MN 55345-3747 | 2014-12-15 |
| 1811136021 | Elizabeth 'emma' Nadler | Counselor | 13100 Wayzata Blvd Ste 400, Minnetonka, MN 55305-1821 | 2009-02-11 |
| 1518162684 | Partners In Healing of Minneapolis, LLC | Counselor | 10505 Wayzata Blvd., Suite #200, Minnetonka, MN 55305-5507 | 2007-06-19 |
| 1528666898 | Izaak River Davison-kerwood | Counselor | 13100 Wayzata Blvd, Minnetonka, MN 55305-1802 | 2020-10-09 |
| 1538716873 | Leslie Erin Burnett | Counselor | 13100 Wayzata Blvd, Minnetonka, MN 55305-1802 | 2019-08-21 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.