ESSENTIAL GRACE THERAPY, PLLC (NPI# 1114526548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114526548 |
| Entity Type | Organization |
| Organization Name | ESSENTIAL GRACE THERAPY, PLLC |
| Practice Address |
12390 Sherburne Ave Ste 210 Becker MN 55308-9147 |
| Mailing Address |
24910 184th St Nw Big Lake MN 55309-9788 |
| Practice Telephone | 7632910468 |
| Mailing Telephone | 7632910468 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MRS. JODI ANN SMITH (OWNER) |
| Authorized Official Telephone | 7632910468 |
| Authorized Official Credential | MS, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
12390 SHERBURNE AVE STE 210 |
| City | BECKER |
| State | MN |
| Zip Code | 55308-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548523525 | Allison Erica Reid | Behavioral Analyst | 14385 Tyler Avenue, Becker, MN 55308 | 2012-06-24 |
| 1174737084 | Stephanie L Gruenes | Dentist | 13734 First Street, Becker, MN 55308 | 2007-05-09 |
| 1235252693 | Shepherd of Grace, LLC | Assisted Living Facility | 11175 27th Ave Se, Becker, MN 55308 | 2007-04-09 |
| 1386701407 | Sharon Ann Kuhlmann | Marriage & Family Therapist | 14068 Bank St, Box 114, Becker, MN 55308 | 2007-01-02 |
| 1366509317 | Got County of Sherburne Independent School District 726 | Local Education Agency (LEA) | 12000 Hancock St, Becker, MN 55308 | 2007-01-02 |
| 1053420315 | John Patrick Brennan | Chiropractor | 13754 1st Street Se, Suite #1, Becker, MN 55308 | 2006-08-30 |
| 1982064440 | Becker Spine Pa | Chiropractor | 13952 First Street, Becker, MN 55308 | 2016-02-26 |
| 1518171081 | Dr. Stephanie Gruenes Center for Cosmetic Dentistry Pa | Dentist | 13734 First Street, Becker, MN 55308 | 2007-05-10 |
| 1114074150 | Victoria L Fenstermacher | Nurse Practitioner | 12800 Rolling Ridge, Centracare Clinic Becker, Becker, MN 55308 | 2007-01-04 |
| 1710048590 | Centracare Clinic Becker | Durable Medical Equipment & Medical Supplies | 12800 Rolling Ridge, Centracare Clinic Becker, Becker, MN 55308 | 2006-12-13 |
| Find all providers in zip 55308 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335728 | Athman Counseling Services LLC | Counselor | 14068 Bank St, Becker, MN 55308-8865 | 2019-03-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.