VITALY ANA SUKOCHEV (NPI# 1174730840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174730840 |
| Entity Type | Individual |
| Full Name | VITALY ANA SUKOCHEV |
| Other Name | VITALIY ANATOLYEVICH SUKOCHEV |
| Credential | M.A. |
| Practice Address |
1385 Mendota Heights Rd Ste 200 Mendota Heights MN 55120 |
| Practice Telephone | 6513799800 |
| Practice Fax Number | 6514050358 |
| Mailing Telephone | 6513799800 |
| Mailing Fax Number | 6514050358 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2047 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1385 MENDOTA HEIGHTS RD STE 200 |
| City | MENDOTA HEIGHTS |
| State | MN |
| Zip Code | 55120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902876188 | Patricia J Rogers | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2006-01-23 |
| 1851928956 | Lindsay Hjermstad | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2020-03-26 |
| 1548721079 | Lauren Andrea Maccoux Kizaur | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2019-03-27 |
| 1023587771 | Kaitlin Salscheider | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-11-23 |
| 1780174938 | Rachel Lauren Henly | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-05-14 |
| 1699263061 | Brianna Lynn Nelson | Social Worker | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2018-05-01 |
| 1427561455 | Julie Jackson | Counselor | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-11-13 |
| 1477076966 | Cecily Rentz | Counselor | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-07-17 |
| 1215459292 | Madeline Giacomino Falk | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-07-12 |
| 1558714956 | David Karlson | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558844 | Sarah Engeswick Borger | Counselor | 1370 Mendota Heights Road, Mendota Heights, MN 55120 | 2020-08-10 |
| 1164916516 | Cassandra Johnson | Registered Nurse | 2486 Pond Circle West, Mendota Heights, MN 55120 | 2018-06-19 |
| 1215428271 | Mendakota Chiropractic, Pllc | Chiropractor | 776 North Plaza Drive, Mendota Heights, MN 55120 | 2018-05-25 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1114214103 | Jennifer Lyn Irene O'neill | Psychologist | 1150 Centre Pointe Curve, Mendota Heights, MN 55120 | 2011-06-29 |
| 1811157092 | Sonya Michelle Calgren | Social Worker | 1385 Mendota Heights Rd Ste. 200, Mendota Heights, MN 55120 | 2008-06-11 |
| 1720172802 | Luke Phillip Spiegelhoff | Social Worker | 1385 Mendota Heights Rd. Ste 200, Mendota Heights, MN 55120 | 2006-10-03 |
| 1750679262 | American Current Care Pa | Clinic/Center | 2520 Pilot Knob Rd, Mendota Heights, MN 55120 | 2011-07-18 |
| 1689712101 | Todd Michael Peter | Chiropractor | 750 Highway 110, Ste 13, Mendota Hgts, MN 55120 | 2007-02-05 |
| 1497893911 | Peter Family Chiropractic | Chiropractor | 750 Highway 110, Ste 13, Mendota Hgts, MN 55120 | 2007-02-05 |
| Find all providers in zip 55120 | ||||
| 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 |
|---|---|---|---|---|
| 1508252719 | Sexual Wellness Institute | Marriage & Family Therapist | 2291 Waters Dr, Mendota Heights, MN 55120-1363 | 2015-04-14 |
| 1487929469 | Monica Ann O'connell | Marriage & Family Therapist | 562 Stone Rd, Mendota Heights, MN 55120-1908 | 2012-03-09 |
| 1063025120 | Gabriel Ottman | Marriage & Family Therapist | 1370 Mendota Heights Rd, Mendota Heights, MN 55120-1281 | 2020-08-28 |
| 1215459292 | Madeline Giacomino Falk | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2017-07-12 |
| 1033661319 | Amanda Beth Morelan | Marriage & Family Therapist | 1385 Mendota Heights Rd, Suite #200, Mendota Heights, MN 55120-1368 | 2016-11-02 |
| 1558714956 | David Karlson | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2016-07-20 |
| 1760832208 | Abbie Kraemer | Marriage & Family Therapist | 1385 Mendota Heights Rd, Suite 200, Mendota Heights, MN 55120-1368 | 2016-06-15 |
| 1528497625 | Sara Stamschror | Marriage & Family Therapist | 1385 Mendota Heights Rd, Suite #200, Mendota Heights, MN 55120-1368 | 2013-11-08 |
| 1245589274 | Gayle L. Kittleson | Marriage & Family Therapist | 1385 Mendota Heights Rd, Suite 200, Mendota Heights, MN 55120-1368 | 2012-09-06 |
| 1881905107 | Rachel Allison Bland | Marriage & Family Therapist | 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 | 2010-07-01 |
| Find all providers in MENDOTA HEIGHTS | ||||
| City | MENDOTA HEIGHTS |
| Zip Code | 55120 |
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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.