LINDA E KORDOSKY (NPI# 1194086686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194086686 |
| Entity Type | Individual |
| Full Name | LINDA E KORDOSKY |
| Credential | LMFT |
| Practice Address |
146 Lake St N Suite 105 Forest Lake MN 55025-2518 |
| Practice Telephone | 6519822880 |
| Practice Fax Number | 6519822884 |
| Mailing Telephone | 6519822880 |
| Mailing Fax Number | 6519822884 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1987 | MN | Behavioral Health & Social Service Providers |
| Street Address |
146 LAKE ST N SUITE 105 |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396851960 | Wendy M Camp | Occupational Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2006-08-23 |
| 1659857290 | Molly Axvig | Physical Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2018-07-17 |
| 1245661180 | Jennifer Sylvester | Speech-Language Pathologist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2013-12-03 |
| 1285065342 | Emily Debreto | Occupational Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2013-11-27 |
| 1619225166 | Peter D Larson | Physical Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2012-08-15 |
| 1801167374 | Eric Matthew Jundt | Physical Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2012-01-16 |
| 1043597461 | Savi Services, Inc | Counselor | 146 Lake St N, Suite 105, Forest Lake, MN 55025-2518 | 2011-11-14 |
| 1093002479 | Charles Schwiesow | Physical Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2011-07-06 |
| 1427286426 | Nicole M Dahmes | Physical Therapist | 146 Lake St N, Forest Lake, MN 55025-2518 | 2009-06-29 |
| 1609927169 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 146 Lake St N, Forest Lake, MN 55025-2518 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| 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 |
|---|---|---|---|---|
| 1396250858 | Rebecca Bowers | Marriage & Family Therapist | 20 Lake St N Ste 103, Forest Lake, MN 55025-2510 | 2017-12-06 |
| 1417320904 | Trey Jensen | Marriage & Family Therapist | 1068 Lake St S Ste 109, Forest Lake, MN 55025-2633 | 2015-11-05 |
| 1699102434 | Collaborative Restoration Counseling Services, LLC | Marriage & Family Therapist | 15252 W Freeway Dr Ne, Suite 1, Forest Lake, MN 55025-8120 | 2013-10-10 |
| 1609188382 | Lori J. Anafarta | Marriage & Family Therapist | 344 1st Ave Sw, Forest Lake, MN 55025-1508 | 2010-07-09 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1417031667 | David Michael Anderson | Marriage & Family Therapist | 24799 Forest Blvd, Forest Lake, MN 55025-7215 | 2006-10-24 |
| 1932487758 | Beyond Diagnosis Counseling, LLC | Marriage & Family Therapist | 344 1st Ave Sw, Forest Lake, MN 55025-1508 | 2011-07-27 |
| 1558583179 | Michael Poindexter | Marriage & Family Therapist | 1068 Lake St S, #109, Forest Lake, MN 55025-2639 | 2007-05-03 |
| 1609091008 | Life Roads, LLC | Marriage & Family Therapist | 1068 Lake St S, Suite 109, Forest Lake, MN 55025-2639 | 2007-04-13 |
| 1043330335 | Dma Consulting LLC | Marriage & Family Therapist | 24799 Forest Blvd, Forest Lake, MN 55025-7215 | 2007-03-30 |
| Find all providers in FOREST LAKE | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
Please comment or provide details below to improve the information on LINDA E KORDOSKY.
| 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.