CHOICES PSYCHOTHERAPY, LTD. (NPI# 1134171127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134171127 |
| Entity Type | Organization |
| Organization Name | CHOICES PSYCHOTHERAPY, LTD. |
| Practice Address |
715 Florida Ave S Suite 307 St Louis Park MN 55426-1719 |
| Practice Telephone | 9525446806 |
| Practice Fax Number | 9525450098 |
| Mailing Telephone | 9525446806 |
| Mailing Fax Number | 9525450098 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | SUSAN MARIE DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9525446806 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 630079100 | 05 | |
| MN | BCBS LICSW GROUP ID | 5G669DA | 01 |
| MN | BCBS LMFT | 620S7CH | 01 |
| MN | AETNA GROUP | 7500691 | 01 |
| MN | MAGELLEN GROUP ID | 804356000 | 01 |
| MN | 060825400 | 05 | |
| MN | BCBS LP GROUP ID | 312P4CH | 01 |
| Street Address |
715 FLORIDA AVE S SUITE 307 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609176627 | Rachel M Footh Moran | Marriage & Family Therapist | 715 Florida Ave S, 307, St Louis Park, MN 55426-1719 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
| 1598207607 | Shani Tran | Counselor | 5871 Cedar Lake Rd S Ste 216, St Louis Park, MN 55416-3805 | 2016-11-07 |
| 1699897694 | Dayna Leanne Hopko | Counselor | 4021 Vernon Ave S, Suite 214, St Louis Park, MN 55416-2801 | 2007-04-03 |
| 1073676508 | Jennie Laskow | Counselor | 5354 Parkdale Dr, Suite 200, St Louis Park, MN 55416-1603 | 2006-12-18 |
| 1295816445 | Therapy Today & Tomorrow, Inc | Counselor | 5009 Excelsior Blvd Ste 130, St Louis Park, MN 55416-3049 | 2006-10-17 |
| 1477646586 | Daphne Lynn Demaris | Counselor | 7425 Excelsior Blvd, Suite 400, St Louis Park, MN 55416-1615 | 2006-10-02 |
| 1730143306 | Gretchen Lee Bueide | Counselor | 7515 Wayzata Blvd, St Louis Park, MN 55426-1604 | 2006-04-12 |
| 1013534817 | Sarah Joy Najafalipour | Counselor | 4027 County Road 25, St Louis Park, MN 55416-2629 | 2020-06-29 |
| 1558992123 | Selah Joy Smith | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-01-31 |
| 1689216855 | Margaret Susan Eide Bremer | Counselor | 4027 County Road 25, St Louis Park, MN 55416 | 2019-10-09 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on CHOICES PSYCHOTHERAPY, LTD..
| 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.