JUDITH SALSIDO KUMENDA (NPI# 1235685017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235685017 |
| Entity Type | Individual |
| Full Name | JUDITH SALSIDO KUMENDA |
| Credential | MA |
| Practice Address |
9245 Quantrelle Ave Ne Otsego MN 55330-0168 |
| Mailing Address |
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786 |
| Practice Telephone | 7637469492 |
| Practice Fax Number | 7637463685 |
| Mailing Telephone | 6513791718 |
| Mailing Fax Number | 6513791738 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
9245 QUANTRELLE AVE NE |
| City | OTSEGO |
| State | MN |
| Zip Code | 55330-0168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973892 | Linnea A Ritter | Nurse Practitioner | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2006-02-28 |
| 1780281295 | Holly J Oachs | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-10-07 |
| 1881219632 | Kathryn Hartman Valine | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-06-08 |
| 1932722592 | Lily Rose Larson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-05-18 |
| 1033739495 | Heather Jo Voss | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-04-25 |
| 1487287264 | Julie Elizabeth Lindenfelser | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-19 |
| 1447882832 | Laurel Anae Kimpton | Psychologist | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-04 |
| 1659910594 | Alissa Christenson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-23 |
| 1053959171 | Kevin Alan Augustin | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-19 |
| 1336791995 | Melissa Lou Nikovics | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1407373160 | Craig Rice | Counselor | 7837 Parquet Ave Ne, Otsego, MN 55330-4646 | 2017-08-24 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1912383969 | Tia Dvorak | Counselor | 9201 Quaday Ave Ne Ste 250, Otsego, MN 55330-6602 | 2015-07-31 |
| 1023367521 | Larone R Greer | Counselor | 7667 Palisades Ave Ne, Otsego, MN 55330 | 2012-08-30 |
| 1750511838 | Jeffrey Lepkowski | Counselor | 16201 90th St Ne Ste 200, Otsego, MN 55330-7464 | 2009-07-22 |
| 1780281295 | Holly J Oachs | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-10-07 |
| 1881219632 | Kathryn Hartman Valine | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-06-08 |
| 1033739495 | Heather Jo Voss | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-04-25 |
| Find all providers in OTSEGO | ||||
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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.