MRS. JILLIAN ELISE HOLTZ DAMRON (NPI# 1245667633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245667633 |
| Entity Type | Individual |
| Full Name | MRS. JILLIAN ELISE HOLTZ DAMRON |
| Credential | MA, LPCC |
| Practice Address |
5625 Cenex Dr Inver Grove Heights MN 55077-1724 |
| Mailing Address |
8170 33rd Ave Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 6515522600 |
| Practice Fax Number | 6515522614 |
| Mailing Telephone | 6515522600 |
| Mailing Fax Number | 6515522614 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
01738 | MN | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1898226 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7064 W Point Douglas Rd S Ste 201, Cottage Grove, MN 55016 | 6514585224 | 6514585310 |
| Street Address |
5625 CENEX DR |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55077-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333666 | Margaret L Breslin | Psychologist | 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1735 | 2006-02-02 |
| 1396245668 | Kristina Baker | Physician Assistant | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2018-02-13 |
| 1447792957 | Allison Doran | Physician Assistant | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2016-11-15 |
| 1619350006 | Katherine Rose Vaughan | Dentist | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2015-07-02 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1922485598 | Elizabeth Price | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-05-01 |
| 1962894683 | Michelle De Fazio | Dentist | 5625 Cenex Dr, Healthpartners Inver Grove Heights Dental, Inver Grove Heights, MN 55077-1724 | 2015-03-04 |
| 1811316730 | Abdirizak Nuno | Psychiatry & Neurology | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2014-04-08 |
| 1184063968 | Katie Marie Lewis | Social Worker | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2013-06-14 |
| 1770854853 | Anna Scheuring | Social Worker | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2012-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194229 | Suite Living Senior Care of Inver Grove Heights | Assisted Living Facility | 7900 Austin Way, Inver Grove Heights, MN 55077 | 2020-05-05 |
| 1801325402 | Marnie Tuenge | Counselor | 4890 Ashley Lane, 301, Inver Grove Heights, MN 55077 | 2017-06-07 |
| 1104172576 | Amanda Lefler | Pharmacist | 7841 Amana Trail, Inver Grove Heights, MN 55077 | 2012-08-03 |
| 1568743474 | Jw Advantage Care, LLC | Home Health | 1870- 50th Street E., Suite 7, Inver Grove Heights, MN 55077 | 2011-09-06 |
| 1255625737 | Greathomemn | Assisted Living Facility | 8668 A;lvarado Court, Inver Grove Heights, MN 55077 | 2011-06-02 |
| 1760794580 | Inver Grove Heights Wp II, LLC | Alzheimer Center (Dementia Center) | 9058 Buchanan Trail, Inver Grove Heights, MN 55077 | 2010-07-09 |
| 1083847610 | Inverwood Senior Living LLC | Assisted Living Facility | 7260 So. Robert Trail, Inver Grove Heights, MN 55077 | 2009-08-31 |
| 1205841434 | Walgreen Co | Pharmacy | 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 | 2006-07-29 |
| 1023420437 | Brittany Marie Bergstedt | Pharmacist | 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 | 2014-05-20 |
| 1225315302 | Gregory Schuur | Pharmacist | 4560 S Robert Trl, Inver Grove Heights, MN 55077-1101 | 2011-11-03 |
| Find all providers in zip 55077 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55077 |
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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.