MS. JEANNETTE C WITHAM (NPI# 1255388138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255388138 |
| Entity Type | Individual |
| Full Name | MS. JEANNETTE C WITHAM |
| Credential | LMFT |
| Practice Address |
1321 13th St N St Cloud MN 56303-2614 |
| Practice Telephone | 3202525010 |
| Practice Fax Number | 3202031855 |
| Mailing Telephone | 3202525010 |
| Mailing Fax Number | 3202031855 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1433 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH PARTNERS | HP60192 | 01 | |
| PREFERRED ONE | 922241046262 | 01 |
| Street Address |
1321 13TH ST N |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469596 | Jason Patrick Mccarty | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-07-11 |
| 1649478413 | William J Madigan | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-07-03 |
| 1992850069 | Mary J Linn | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-01-25 |
| 1639220502 | Bradley J Benz | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-01-16 |
| 1790847135 | Kelly L S Cook | Social Worker | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-12-14 |
| 1932279940 | Cassandra Lou Moe | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-11-08 |
| 1164521621 | Sarah J Pickens | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-09-21 |
| 1467555391 | Victoria Jean Knight | Marriage & Family Therapist | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-09-06 |
| 1407883390 | Walter James Steiner Jr. | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-27 |
| 1437195641 | Charlene Marie Carroll-hanisch | Social Worker | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1609368125 | Matthew J Peterson | Marriage & Family Therapist | St Cloud Hospital, 1406 6th Avenue North, St Cloud, MN 56303-1901 | 2018-05-31 |
| 1942546593 | Christine Marie Gilyard | Marriage & Family Therapist | St Cloud Hospital, 1406 6th Avenue North, St Cloud, MN 56303-1901 | 2012-12-28 |
| 1396827432 | Greta Joan Kramer | Marriage & Family Therapist | 325 N 33rd Ave, 103, St Cloud, MN 56303 | 2006-10-19 |
| 1467555391 | Victoria Jean Knight | Marriage & Family Therapist | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-09-06 |
| 1639285596 | Masahiko Sato | Marriage & Family Therapist | 1406 6th Ave N, St Cloud Hospital - Recovery Plus, St Cloud, MN 56303 | 2006-08-22 |
| 1881630200 | Molly K Sveum | Marriage & Family Therapist | 713 Anderson Ave, St Cloud, MN 56303 | 2006-06-22 |
| 1932145356 | Doug H Greenlee | Marriage & Family Therapist | 713 Anderson Ave, St Cloud, MN 56303 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295491 | Wanda Baker | Marriage & Family Therapist | 653 Galtier St Apt 109, Saint Paul, MN 55103-1793 | 2020-11-02 |
| 1437750056 | Tanner Zimmerman | Marriage & Family Therapist | 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 | 2020-11-02 |
| 1063012839 | Rosemary Ann Senjem | Marriage & Family Therapist | 305 Greeley St S Ste 105, Stillwater, MN 55082-7029 | 2020-10-29 |
| 1609476738 | Shelly Melroe | Marriage & Family Therapist | 700 Twelve Oaks Center Dr Ste 700, Wayzata, MN 55391-4405 | 2020-10-28 |
| 1023617933 | Rachael Lee Cavegn | Marriage & Family Therapist | 4969 Hillvale Ave N, Oakdale, MN 55128-2212 | 2020-10-21 |
| 1669071528 | Lineage Counseling | Marriage & Family Therapist | 4900 Highway 169 N Ste 115, New Hope, MN 55428-4058 | 2020-10-21 |
| 1528667631 | Brittany L Denucci | Marriage & Family Therapist | 324 W Superior St Ste 828, Duluth, MN 55802-1719 | 2020-10-20 |
| 1841899184 | Michelle Suarez | Marriage & Family Therapist | 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 | 2020-10-19 |
| 1649878927 | Judith Ann Richardson-mahre | Marriage & Family Therapist | 15699 Highview Dr, Apple Valley, MN 55124-7001 | 2020-10-09 |
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
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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.