INTENTIONAL WELLNESS SOLUTIONS (NPI# 1275172462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275172462 |
| Entity Type | Organization |
| Organization Name | INTENTIONAL WELLNESS SOLUTIONS |
| Practice Address |
121 Adams St S Cambridge MN 55008-1620 |
| Mailing Address |
1330 Carriage Ln S Cambridge MN 55008-3705 |
| Practice Telephone | 7634008177 |
| Practice Fax Number | 3043013047 |
| Mailing Telephone | 6122322917 |
| Mailing Fax Number | 3043013047 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | JAMIE J ANDERSON (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 6122322917 |
| Authorized Official Credential | FNP-C, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
121 ADAMS ST S |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093855488 | Michael Peter Keller | Psychologist | 121 Adams St S, Psychological Service Associates, Cambridge, MN 55008-1620 | 2007-02-07 |
| 1548651409 | Jamie Anderson | Nurse Practitioner | 121 Adams St S, Cambridge, MN 55008-1620 | 2015-02-13 |
| 1952712572 | Cambridge Counseling Center, LLC | Marriage & Family Therapist | 121 Adams St S, Cambridge, MN 55008-1620 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682873 | Saj Consultation LLC | Clinic/Center | 552 Massachusetts Ave Ste 202, Cambridge, MA 02139-4088 | 2019-10-28 |
| 1982014098 | Christine Julien | Clinic/Center | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2014-04-29 |
| 1912323049 | Katia Tse | Clinic/Center | 1493 Cambridge Street, Cambridge, MA 02141-0007 | 2014-03-13 |
| 1699104877 | Passport Health Holdings LLC | Clinic/Center | 705 Cambridge St, 2nd Floor, Cambridge, MA 02141-1450 | 2013-11-07 |
| 1184963878 | Tango Vision, Inc. | Clinic/Center | 215 Balsam St N, Cambridge, MN 55008-5814 | 2013-01-31 |
| 1396047353 | Windsor Street Health Center | Clinic/Center | 119 Windsor St, Cambridge, MA 02139-3647 | 2010-11-24 |
| 1194027169 | Windsor Health Center | Clinic/Center | 119 Windsor St, Cambridge, MA 02139-3647 | 2010-11-24 |
| 1669773016 | Windsor Health Center | Clinic/Center | 119 Windsor St, Cambridge, MA 02139-3647 | 2010-11-16 |
| 1780833830 | Cambridge Chiropractic Health Center LLC | Clinic/Center | 927 Wheeling Ave, Suite 201, Cambridge, OH 43725-2340 | 2008-09-13 |
| 1588863179 | Mount Auburn Hospital | Clinic/Center | 725 Concord Ave, Occupational Health 5th Floor, Cambridge, MA 02138-1040 | 2007-07-13 |
| Find all providers in CAMBRIDGE | ||||
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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.