KALLIE MARSH (NPI# 1346593365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346593365 |
| Entity Type | Individual |
| Full Name | KALLIE MARSH |
| Practice Address |
115 5th St N Breckenridge MN 56520-1434 |
| Practice Telephone | (218) 651-0212 |
| Mailing Telephone | (218) 651-0212 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2017-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8-15-14 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1455895 | 05 |
| Street Address |
115 5TH ST N |
| City | BRECKENRIDGE |
| State | MN |
| Zip Code | 56520-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578614038 | Solutions Counseling Services, Inc. | Social Worker | 115 5th St N, Breckenridge, MN 56520-1434 | 2007-01-12 |
| 1366959967 | Tischer Therapeutic Services Substance Abuse Treatment Program | Clinic/Center | 115 5th St N, Breckenridge, MN 56520-1434 | 2018-01-04 |
| 1285009159 | Ashley E. Thompson | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2015-12-03 |
| 1033516695 | Tischer Therapeutic Services | Community/Behavioral Health | 115 5th St N, Breckenridge, MN 56520-1434 | 2014-11-25 |
| 1699174326 | Donya Blair-tischer | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2014-08-19 |
| 1164788600 | Renata Raye Bosek | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2012-04-10 |
| 1831371301 | Brandt Opticare | Optometrist | 115 5th St N, Breckenridge, MN 56520-1434 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
| 1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
| 1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
| 1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
| 1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
| 1194158006 | Jennifer L Schalekamp | Physical Therapist | 430 5th St N, Breckenridge, MN 56520 | 2013-08-14 |
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| Find all providers in zip 56520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871898858 | Stacy Smith | Counselor | 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | 2011-01-21 |
| 1417025032 | Mary V. Augustyn | Counselor | 1655 Airport Road, Suite #2, Breckenridge, CO 80424-2590 | 2006-12-01 |
| 1699174326 | Donya Blair-tischer | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 56520 |
Please comment or provide details below to improve the information on KALLIE MARSH.
| 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.