MRS. KELLY CAMERON LINDBERG (NPI# 1306014162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306014162 |
| Entity Type | Individual |
| Full Name | MRS. KELLY CAMERON LINDBERG |
| Other Name | MS. KELLY CAMERON SMITH |
| Credential | LADC |
| Practice Address |
407 Washington St Monticello MN 55362-8815 |
| Practice Telephone | 7632954001 |
| Practice Fax Number | 7632955086 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302082 | MN | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LADC | 302082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780017665 | Kelly Jean Lindberg | Physical Therapy Assistant | 1003 Isanti Pkwy Nw, Isanti, MN 55040-7507 | 2013-08-15 |
| 1427400332 | Kelly Lindberg | Pharmacist | 8500 W Capitol Dr, Milwaukee, WI 53222-1869 | 2016-07-05 |
| 1972869865 | Kelly Ann Lindberg | Registered Nurse | 9530 Brewerton Rd, Brewerton, NY 13029-9788 | 2012-04-05 |
| Street Address |
407 WASHINGTON ST |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362-8815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013950203 | William J Affeldt | Social Worker | 407 Washington St, Monticello, MN 55362-8815 | 2006-06-14 |
| 1831713551 | Nancy Gohl | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2020-05-29 |
| 1366081333 | Nina M Vadnais | Marriage & Family Therapist | 407 Washington St, Monticello, MN 55362-8815 | 2019-12-23 |
| 1871068775 | Kendra Jo Stalpes | Counselor | 407 Washington St, Monticello, MN 55362 | 2018-10-06 |
| 1285159145 | Erin Marie Simonson | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2017-08-11 |
| 1235581943 | Jennifer Marie Blesi | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2016-07-06 |
| 1740645720 | Marie Fisher | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2015-12-17 |
| 1760887772 | Taylor Elise Wirkus | Marriage & Family Therapist | 407 Washington St, Monticello, MN 55362-8815 | 2014-11-03 |
| 1184908949 | Catherine Cecilia Carlson | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2011-09-28 |
| 1932419587 | Rhonda Christine Frericks | Registered Nurse | 407 Washington St, Monticello, MN 55362 | 2010-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320711 | Randell Armond Morgan Sr. | Counselor | 1194 147th St Ste 5, Monticello, GA 31064-8068 | 2019-11-13 |
| 1740711779 | Barbara Thomas | Counselor | 50 Mission Trl, Monticello, FL 32344-6869 | 2017-03-22 |
| 1225570377 | Elvira Williams | Counselor | 91 Shaker Heights Rd, Apartment 33, Monticello, NY 12701-5314 | 2016-11-07 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1891178109 | Anthony Bernard Roberts | Counselor | 126 E Evelyn Ave, Monticello, KY 42633-1210 | 2015-07-06 |
| 1497147227 | Phuong Tran | Counselor | 4300 School Blvd Ste 107, Monticello, MN 55362-4679 | 2015-03-03 |
| 1548588023 | Thomas Scott Rue | Counselor | 6 Pelton St, Ste 2, Monticello, NY 12701-1908 | 2010-05-09 |
| 1376661157 | Sammy Wilkerson | Counselor | 706 S. Bochardt, Monticello, AR 71655-9663 | 2007-03-27 |
| 1629123625 | Samantha Ann Simmons | Counselor | 80 Rolling Hills Blvd, Monticello, KY 42633-9005 | 2007-01-23 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
Please comment or provide details below to improve the information on MRS. KELLY CAMERON LINDBERG.
| 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.