ELAINE VIVIAN HUSELID (NPI# 1316000797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316000797 |
Entity Type | Individual |
Full Name | ELAINE VIVIAN HUSELID |
Credential | M.ED |
Practice Address |
14579 Grand Ave Suite 200 Burnsville MN 55306-5702 |
Mailing Address |
1641 W 140th St Burnsville MN 55337-4418 |
Practice Telephone | 9527973169 |
Practice Fax Number | 9524261725 |
Mailing Telephone | 9527973169 |
Mailing Fax Number | 9524261725 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103TC1900X |
Psychologist Specialization: Counseling |
3047 | MN | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
6542 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | UBH PROVIDER # | 62-37268 | 01 |
MN | BHP PROVIDER # | 01020012 | 01 |
MN | BCBS PROVIDER # | 14D35HU AND 14D36HU | 01 |
MN | HEALTH PARTNER'S PROVIDER | HP 28356 | 01 |
Street Address |
14579 GRAND AVE SUITE 200 |
City | BURNSVILLE |
State | MN |
Zip Code | 55306-5702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
Find all providers in zip 55306 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
1225115504 | Alrene E Obrien Finn | Psychologist | 14851 Grand Ave S, Ste 203, Burnsville, MN 55306 | 2006-11-01 |
1922182047 | Patricia Joan Voss | Psychologist | 14581 Grand Ave S, Suite 205, Burnsville, MN 55306 | 2006-10-25 |
1366536443 | Kathryn Lenarz Cashman | Psychologist | 2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822 | 2006-10-03 |
1669464905 | John Mark Prichard | Psychologist | 1500 Mcandrews Rd W, Suite 209, Burnsville, MN 55337-4432 | 2005-08-22 |
1114925468 | John M Gessner | Psychologist | 2960 Judicial Rd, S 210, Burnsville, MN 55337-5507 | 2005-07-11 |
1205307659 | Shannon Marie Goecke-watson | Psychologist | 2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822 | 2018-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
1174174908 | Dr Brecke Counseling Group | Psychologist | 1185 Town Centre Dr Ste 245, Eagan, MN 55123-1187 | 2019-09-23 |
Find all providers with the same taxonomy |
City | BURNSVILLE |
Zip Code | 55306 |
Please comment or provide details below to improve the information on ELAINE VIVIAN HUSELID.
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.