BREANNA MARIE HEINTZELMAN (NPI# 1164860664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164860664 |
| Entity Type | Individual |
| Full Name | BREANNA MARIE HEINTZELMAN |
| Credential | MA |
| Practice Address |
311 Brighton Ave S Suite B Buffalo MN 55313-2312 |
| Mailing Address |
2306 Maple Ln Buffalo MN 55313-2360 |
| Practice Telephone | 3202666170 |
| Practice Fax Number | 7636822449 |
| Mailing Telephone | 3202666170 |
| Mailing Fax Number | 7636822449 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2406 | MN | Behavioral Health & Social Service Providers |
| Street Address |
311 BRIGHTON AVE S SUITE B |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508168337 | Bridging Hope Counseling Services LLC | Clinic/Center | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2010-11-30 |
| 1386082972 | Briana Marie Adams | Counselor | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2013-06-05 |
| 1972801090 | Cindy Meyer | Counselor | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2011-03-14 |
| 1659672525 | Gina Daniels | Counselor | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1407384282 | Jenna Ann Haarstick | Marriage & Family Therapist | 308 12th Ave S Ste 1, Buffalo, MN 55313-2322 | 2017-05-24 |
| 1710318951 | Lindsay Latham | Marriage & Family Therapist | 95 W Humboldt Pkwy, Buffalo, NY 14214-2604 | 2013-12-12 |
| 1578612461 | Janet Mary Mignatti | Marriage & Family Therapist | 387 Huntington Ave, Buffalo, NY 14214 | 2007-01-09 |
| 1760408660 | Adelaide Cleo Wilson | Marriage & Family Therapist | 63 N Burritt Ave, Buffalo, WY 82834-1868 | 2006-07-14 |
| 1649811092 | Ann Marie Cusella | Marriage & Family Therapist | 142 Bidwell Pkwy, Buffalo, NY 14222-1164 | 2019-10-07 |
| 1558837583 | Sarah Scaccia | Marriage & Family Therapist | 1500 Broadway St, Buffalo, NY 14212-1845 | 2018-10-17 |
| 1679027155 | Clear Creek Company LLC | Marriage & Family Therapist | 63 N Burritt Ave, Buffalo, WY 82834-1868 | 2016-08-12 |
| 1114398773 | Nora Eggers | Marriage & Family Therapist | 10 Symphony Cir, Buffalo, NY 14201-1363 | 2015-10-08 |
| 1659709350 | Josefina Carmona | Marriage & Family Therapist | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2013-10-16 |
| Find all providers in BUFFALO | ||||
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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.