ABIGAIL AMUNDSON (NPI# 1306322433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306322433 |
| Entity Type | Individual |
| Full Name | ABIGAIL AMUNDSON |
| Credential | CLINICAL INTERN |
| Practice Address |
13911 Ridgedale Dr Ste 460 Minnetonka MN 55305-1777 |
| Practice Telephone | 7634459175 |
| Practice Fax Number | 8886758262 |
| Mailing Telephone | 7634459175 |
| Mailing Fax Number | 8886758262 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 553697167 | 7638983838 |
| Street Address |
13911 RIDGEDALE DR STE 460 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821034786 | Jeanette Laverne Vought | Psychologist | 13911 Ridgedale Dr Ste 460, Minnetonka, MN 55305-1777 | 2006-06-21 |
| 1154583334 | Carol Lee Brown | Marriage & Family Therapist | 13911 Ridgedale Dr Ste 460, Minnetonka, MN 55305-1777 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063952778 | Jennifer Petzoldt | Counselor | 5860 Baker Rd, Minnetonka, MN 55345-5903 | 2017-02-28 |
| 1750693263 | Jane Lee Allen | Counselor | 5710 Baker Road, Minnetonka, MN 55345 | 2010-07-13 |
| 1972755114 | Jesse Leaf Maistrovich | Counselor | 5125 County Road 101, Suite 300, Minnetonka, MN 55345-4156 | 2008-10-21 |
| 1427214600 | Elizabeth Mcfadden | Counselor | 13911 Ridgedale Dr Ste 330, Minnetonka, MN 55305-1775 | 2008-08-06 |
| 1306454012 | Alyssa Egersett | Counselor | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2020-07-20 |
| 1770102733 | Janna Marie Schriber | Counselor | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2020-04-10 |
| 1902437627 | John Robert Nord | Counselor | 10505 Wayzata Blvd Ste 101, Minnetonka, MN 55305-1507 | 2020-01-31 |
| 1114567856 | Sarva Psychotherapy and Wellness LLC | Counselor | 10501 Wayzata Blvd Ste 204, Minnetonka, MN 55305-1519 | 2020-01-10 |
| 1558902536 | Kelsea Rose Schneider | Counselor | 5710 Baker Rd, Minnetonka, MN 55345-5901 | 2019-10-01 |
| 1043864838 | Jamie L.k. Rohwer | Counselor | 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2019-07-30 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on ABIGAIL AMUNDSON.
| 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.