KRISTY HOMMERDING (NPI# 1144642745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144642745 |
| Entity Type | Individual |
| Full Name | KRISTY HOMMERDING |
| Credential | M.A., L.P.C |
| Practice Address |
5354 Parkdale Dr 2nd Floor St Louis Park MN 55416-1603 |
| Practice Telephone | 6516455323 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
01392 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5354 PARKDALE DR 2ND FLOOR |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073676508 | Jennie Laskow | Counselor | 5354 Parkdale Dr, Suite 200, St Louis Park, MN 55416-1603 | 2006-12-18 |
| 1609486349 | Ophelia Vanessa Addo | Student in an Organized Health Care Education/Training Program | 5354 Parkdale Dr, St Louis Park, MN 55416-1603 | 2020-08-07 |
| 1316410624 | Madeline Rene Glazos | Dietitian, Registered | 5354 Parkdale Dr, St Louis Park, MN 55416-1603 | 2019-01-09 |
| 1326525015 | Carly Hoffman | Counselor | 5354 Parkdale Dr, St Louis Park, MN 55416-1603 | 2018-07-25 |
| 1407206576 | Alexandra Montes | Student in an Organized Health Care Education/Training Program | 5354 Parkdale Dr, 2nd Floor, St Louis Park, MN 55416-1603 | 2016-06-20 |
| 1124478672 | Jenna Schuder | Dietitian, Registered | 5354 Parkdale Dr, 2nd Floor, St Louis Park, MN 55416-1603 | 2016-06-15 |
| 1164883773 | Ashley Richardson | Counselor | 5354 Parkdale Dr, St Louis Park, MN 55416-1603 | 2016-03-09 |
| 1730551904 | Laura Burbank | Dietitian, Registered | 5354 Parkdale Dr, St Louis Park, MN 55416-1603 | 2015-10-27 |
| 1376915116 | Erin Barnes | Dietitian, Registered | 5354 Parkdale Dr, St Louis Park, MN 55416-1603 | 2015-10-20 |
| 1083085468 | Rebecca Sawyer-smith | Counselor | 5354 Parkdale Dr, 200, St Louis Park, MN 55416-1603 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
| 1134171127 | Choices Psychotherapy, Ltd. | Counselor | 715 Florida Ave S, Suite 307, St Louis Park, MN 55426-1719 | 2006-05-17 |
| 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 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on KRISTY HOMMERDING.
| 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.