PRACTICAL THERAPY LLC (NPI# 1134528557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134528557 |
| Entity Type | Organization |
| Organization Name | PRACTICAL THERAPY LLC |
| Practice Address |
570 Asbury St Suite 206 Saint Paul MN 55104-1849 |
| Practice Telephone | 6127607818 |
| Practice Fax Number | 6512124149 |
| Mailing Telephone | 6127607818 |
| Mailing Fax Number | 6512124149 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | MS. JEANNE LYNN FISCHER (LICSW, OWNER) |
| Authorized Official Telephone | 6127607818 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 13825 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 246900600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379885 | Practical Therapy LLC | Physical Therapist | 9611 Acer Ave., Bldg B Suite 114, El Paso, TX 79925 | 2019-04-26 |
| Street Address |
570 ASBURY ST SUITE 206 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898642 | Kathleen M Pfaffinger | Psychologist | 570 Asbury St, Suite 103, Saint Paul, MN 55104-1849 | 2006-02-07 |
| 1578008900 | U.S. Healthworks Medical Group of Minnesota, PC | Physical Therapist | 570 Asbury St, Suite 101, Saint Paul, MN 55104-1849 | 2016-12-20 |
| 1124577614 | Malea Stoesz | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-09-26 |
| 1730635277 | Pheng Thao | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-25 |
| 1952856627 | Melissa Schoeberl | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-23 |
| 1699220418 | Shelby Marx | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-22 |
| 1407211154 | Shannon Pollreis-gottschalk | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2015-12-23 |
| 1407292386 | W.b.garrett Consulting LLC | Community/Behavioral Health | 570 Asbury St, 304-a, Saint Paul, MN 55104-1849 | 2013-05-17 |
| 1013215136 | Stephen M. Hjemboe, Ph.d., LLC | Psychologist | 570 Asbury St, Suite 208, Saint Paul, MN 55104-1849 | 2011-03-14 |
| 1033347737 | Wb Garrett Consulting, LLC | Psychologist | 570 Asbury St, #304a, Saint Paul, MN 55104-1849 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435401 | Aurora Behavioral Health | Community/Behavioral Health | 1821 University Ave W Ste 225, Saint Paul, MN 55104-2895 | 2019-03-11 |
| 1821583295 | Integrate Counseling Pllc | Community/Behavioral Health | 1145 Grand Ave Ste 203, Saint Paul, MN 55105-2629 | 2018-06-27 |
| 1891233565 | Cp Consulting & Research, LLC | Community/Behavioral Health | 2395 University Ave W Ste 200, Saint Paul, MN 55114-1511 | 2017-02-02 |
| 1821533779 | Minneosta Wellness Center LLC | Community/Behavioral Health | 808 Berry St Apt 192, Saint Paul, MN 55114-1082 | 2017-01-02 |
| 1164875670 | Integrated Health | Community/Behavioral Health | 1830 Selby Ave, Saint Paul, MN 55104-6024 | 2016-07-20 |
| 1992150080 | Minnesota Mental Health Center | Community/Behavioral Health | 990 Payne Ave, Saint Paul, MN 55130-3987 | 2016-04-26 |
| 1629437793 | Integrated Health | Community/Behavioral Health | 2030 Saint Clair Ave, Saint Paul, MN 55105-1650 | 2016-02-18 |
| 1679949044 | Elite Recovery LLC | Community/Behavioral Health | 1145 Grand Ave, #101, Saint Paul, MN 55105-2629 | 2015-08-19 |
| 1316321235 | Aide Bilingual Services | Community/Behavioral Health | 914 Fuller Ave, Saint Paul, MN 55104-4741 | 2015-07-10 |
| 1871993832 | Mikemarekcounseling | Community/Behavioral Health | 615 Pascal St N, Saint Paul, MN 55104-2443 | 2014-08-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.