MOSAIC FAMILY SERVICES, LTD. (NPI# 1275195737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275195737 |
| Entity Type | Organization |
| Organization Name | MOSAIC FAMILY SERVICES, LTD. |
| Practice Address |
1405 East Main Street New Prague MN 56071 |
| Practice Telephone | 9522176419 |
| Practice Fax Number | 9527589022 |
| Mailing Telephone | 9522176419 |
| Mailing Fax Number | 9527589022 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | JEREMY ROBISON FAUS (DIRECTOR) |
| Authorized Official Telephone | 9522176419 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
1405 EAST MAIN STREET |
| City | NEW PRAGUE |
| State | MN |
| Zip Code | 56071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740537331 | Omega Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 125 West Main St, New Prague, MN 56071 | 2012-08-14 |
| 1811143936 | New Prague Dental Center | Dentist | 101 Lexington Ave S., New Prague, MN 56071 | 2008-08-08 |
| 1013083039 | Sharon L Bortscheller | Social Worker | 101 Lexington Ave South, New Prague, MN 56071 | 2006-11-28 |
| 1811082225 | Gregory Raymond Dvorak | Dentist | 136 W. Main St, New Prague, MN 56071 | 2006-10-03 |
| 1285728352 | Joel Gary Erickson | Chiropractor | 314 Main St E Suite 2, New Prague, MN 56071 | 2006-10-03 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1225396492 | Mary F Taylor | Dietitian, Registered | 301 2nd St Ne, New Prague, MN 56071 | 2012-04-25 |
| 1902093768 | John Edward Tieben | Family Medicine | 301 2nd St Ne, New Prague, MN 56071 | 2007-09-26 |
| 1295805331 | Renae Madison Gage | Emergency Medicine | 301 2nd Street Ne, New Prague, MN 56071 | 2006-11-08 |
| Find all providers in zip 56071 | ||||
| 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 |
|---|---|---|---|---|
| 1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NEW PRAGUE |
| Zip Code | 56071 |
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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.