PHILIP CALEB ZASTROW (NPI# 1255968111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255968111 |
| Entity Type | Individual |
| Full Name | PHILIP CALEB ZASTROW |
| Credential | LPCC |
| Practice Address |
1811 Weir Dr Ste 270 Woodbury MN 55125-6741 |
| Practice Telephone | 6517149646 |
| Mailing Telephone | 6517149646 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC02402 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1811 WEIR DR STE 270 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-6741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699728816 | Susan J Mccammon | Social Worker | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2006-05-18 |
| 1972131290 | Timothy Hanson | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-03-31 |
| 1386278711 | David J Eichhorn | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-02-25 |
| 1205466463 | Elizabeth Storm | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-01-16 |
| 1326697947 | Lukas Eisen | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-09-06 |
| 1952958027 | James Osei | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-08-22 |
| 1013560127 | Taylor Degen | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-07-17 |
| 1578128534 | Alison A Larson | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-05-06 |
| 1174085450 | Chandra Rochelle Roth | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-04-04 |
| 1659838142 | Julie Ann Peterson | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1891324919 | Amy Ellen Degirolamo | Counselor | 45 Euclid St Ste 201, Woodbury, NJ 08096-4631 | 2020-04-02 |
| 1710518493 | Kelly White | Counselor | 44 Cooper St Ste 109, Woodbury, NJ 08096-4642 | 2020-01-30 |
| 1649815614 | Summer Counseling and Behavioral Health Summer Counseling | Counselor | 1687 Woodlane Dr Ste 208, Woodbury, MN 55125-3047 | 2019-11-13 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1003328816 | Kathleen Engh | Counselor | 6063 Hudson Rd Ste 200, Woodbury, MN 55125-4455 | 2017-11-02 |
| 1780196964 | Tammy Jean Weinke | Counselor | 10300 City Walk Dr Unit 432, Woodbury, MN 55129-6953 | 2017-10-28 |
| 1811416688 | Family Care Connections, LLC | Counselor | 44 Cooper St Ste 6, Woodbury, NJ 08096-4653 | 2017-09-13 |
| 1619495827 | Rachel Champeau Sneve | Counselor | 2165 Woodlane Dr Ste 200, Woodbury, MN 55125-2915 | 2017-09-07 |
| Find all providers in WOODBURY | ||||
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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.