DEBORAH ELLEN NEITZKE (NPI# 1194049023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194049023 |
| Entity Type | Individual |
| Full Name | DEBORAH ELLEN NEITZKE |
| Other Name | DEBORAH ELLEN WEAPPA |
| Credential | MS, LPCC |
| Practice Address |
1406 6th Avenue North St. Cloud Hospital St. Cloud MN 56303-1901 |
| Mailing Address |
1900 Centracare Cir # 2475 Centra Care Health Plaza Saint Cloud MN 56303-5000 |
| Practice Telephone | 3202512700 |
| Practice Fax Number | 3202295109 |
| Mailing Telephone | 3202295199 |
| Mailing Fax Number | 3202295109 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
00164 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1406 6TH AVENUE NORTH ST. CLOUD HOSPITAL |
| City | ST. CLOUD |
| State | MN |
| Zip Code | 56303-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500594 | Teresa Mary Rock | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-28 |
| 1477053155 | Rachel Flygare | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-19 |
| 1790225787 | Kristine Lawrence | Physical Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2017-02-24 |
| 1821489311 | Sandra Paulette Elwood | Registered Nurse | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1900 | 2015-02-05 |
| 1174869648 | Matthew Carl Mcclure | Psychiatry & Neurology | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2013-01-02 |
| 1619221140 | Angela Marie Williams Schroden | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-11-06 |
| 1003187899 | Monica Marie Guggenberger | Marriage & Family Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-01-25 |
| 1407148588 | Ryan Michael Engdahl | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2011-05-09 |
| 1386947653 | Jessica Rose Vander Weyst | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-08 |
| 1346543725 | Rebecca Irene Rogholt | Clinical Nurse Specialist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1578162012 | Bemidji Autism and Children's Therapy LLC | Counselor | 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 | 2020-10-24 |
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1386251163 | Jeffrey D Larson, LLC | Counselor | 11735 90th Ave, Milaca, MN 56353-3894 | 2020-09-25 |
| 1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1720694722 | Eleanor (ellie) Freerksen | Counselor | 3 3rd Ave Sw, Dodge Center, MN 55927 | 2020-09-16 |
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
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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.