MRS. LISA JOY DECATHELINEAU


Address: 1234 Mn-7, Montevideo, MN 56265
Phone: 3202694581

MRS. LISA JOY DECATHELINEAU (NPI# 1114086188) 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) 1114086188
Entity Type Individual
Full Name MRS. LISA JOY DECATHELINEAU
Credential LMFT
Practice Address 1234 Mn-7
Montevideo
MN 56265
Mailing Address 220 230th Ave Nw
Appleton
MN 56208-1828
Practice Telephone 3202694581
Mailing Telephone 3202354613
Mailing Fax Number 3202319140
Enumeration Date 2006-12-06
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1094 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PREFERRED ONE 1033823 01
BLUE CROSS 374J68T 01
UCARE 172691 01
MN 801929100 05

Office Location

Street Address 1234 MN-7
City MONTEVIDEO
State MN
Zip Code 56265

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003370495 Amber Bruns Behavioral Analyst 2419 Washington Ave., Montevideo, MN 56265 2019-01-30
1124405857 Jenna Susanne Marquardt Dental Therapist 209 South 1st Street, Montevideo, MN 56265 2015-05-01
1952554974 West Central Smiles Pa Dentist 123 1/2 N. First St., Montevideo, MN 56265 2008-11-04
1033294699 Rem - Southwest Services Inc Intermediate Care Facility, Mentally Retarded 585 Gravel Road, Montevideo, MN 56265 2006-10-25
1952492035 James Kevin Zenk Dentist 1317 Grove Ave, Montevideo, MN 56265 2006-09-27
1366420820 Caroline Moniza Psychologist 2419 Washington Ave, Montevideo, MN 56265 2006-01-05
1164428496 Gina Louise Kontz Audiologist-Hearing Aid Fitter 408 N 1st St Ste 2, Montevideo, MN 56265 2005-06-22
1083175442 Swwc Service Cooperatives Early Intervention Provider Agency 2419 Washington Ave, Montevideo, MN 56265 2019-03-28
1679053110 Hearing Care By Gina LLC Audiologist 408 N 1st St Ste 2, Montevideo, MN 56265 2018-08-15
1467985010 Renee Larson Dental Therapist 209 South 1st Street, Montevideo, MN 56265 2017-04-10
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295213072 Nicole Christine Olson Marriage & Family Therapist 517 N 17th St, Montevideo, MN 56265-3067 2018-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881295491 Wanda Baker Marriage & Family Therapist 653 Galtier St Apt 109, Saint Paul, MN 55103-1793 2020-11-02
1437750056 Tanner Zimmerman Marriage & Family Therapist 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 2020-11-02
1063012839 Rosemary Ann Senjem Marriage & Family Therapist 305 Greeley St S Ste 105, Stillwater, MN 55082-7029 2020-10-29
1609476738 Shelly Melroe Marriage & Family Therapist 700 Twelve Oaks Center Dr Ste 700, Wayzata, MN 55391-4405 2020-10-28
1023617933 Rachael Lee Cavegn Marriage & Family Therapist 4969 Hillvale Ave N, Oakdale, MN 55128-2212 2020-10-21
1669071528 Lineage Counseling Marriage & Family Therapist 4900 Highway 169 N Ste 115, New Hope, MN 55428-4058 2020-10-21
1528667631 Brittany L Denucci Marriage & Family Therapist 324 W Superior St Ste 828, Duluth, MN 55802-1719 2020-10-20
1841899184 Michelle Suarez Marriage & Family Therapist 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 2020-10-19
1649878927 Judith Ann Richardson-mahre Marriage & Family Therapist 15699 Highview Dr, Apple Valley, MN 55124-7001 2020-10-09
1578179727 Natasha Ann Keller Marriage & Family Therapist 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 2020-09-22
Find all providers with the same taxonomy

Competitor

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City MONTEVIDEO
Zip Code 56265

Improve Information

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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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