EMMANUEL LEGMAN PENA (NPI# 1417256504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417256504 |
| Entity Type | Individual |
| Full Name | EMMANUEL LEGMAN PENA |
| Practice Address |
720 E Lake St Minneapolis MN 55407-1547 |
| Practice Telephone | 6127463500 |
| Practice Fax Number | 6128711058 |
| Mailing Telephone | 6127463500 |
| Mailing Fax Number | 6128711058 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
720 E LAKE ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376668442 | Angela Lopez | Counselor | 720 E Lake St, Minneapolis, MN 55407-1547 | 2007-03-20 |
| 1568990893 | Brenna Christine Batres | Social Worker | 720 E Lake St, Minneapolis, MN 55407-1547 | 2017-05-31 |
| 1841674348 | Costanza Palacio | Marriage & Family Therapist | 720 E Lake St, Minneapolis, MN 55407-1547 | 2015-07-14 |
| 1881014363 | Clues | Community/Behavioral Health | 720 E Lake St, Minneapolis, MN 55407-1547 | 2014-04-23 |
| 1023356771 | Clare Eileen Thompson | Social Worker | 720 E Lake St, Minneapolis, MN 55407-1547 | 2013-01-30 |
| 1770883423 | Paris Don Rey Getty | Counselor | 720 E Lake St, Minneapolis, MN 55407-1547 | 2010-10-28 |
| 1003122490 | Nelson Perez | Counselor | 720 E Lake St, Minneapolis, MN 55407-1547 | 2010-08-24 |
| 1710161203 | Robert Vannoord Sr. | Counselor | 720 E Lake St, Minneapolis, MN 55407-1547 | 2007-12-20 |
| 1205053501 | Elias Acero | Counselor | 720 E Lake St, Minneapolis, MN 55407-1547 | 2007-04-19 |
| 1396962601 | Melissa Flores-fioravanti | Marriage & Family Therapist | 720 E Lake St, Minneapolis, MN 55407-1547 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1366056392 | Brianna Connor | Counselor | 2450 Riverside Ave Bldg Suite140, Minneapolis, MN 55454-1450 | 2020-09-08 |
| 1144831959 | Brian James Rose | Counselor | 5061 Lyndale Ave S, Minneapolis, MN 55419-1215 | 2020-08-14 |
| 1740891688 | Jennifer Twa | Counselor | 2104 Stevens Ave, Minneapolis, MN 55404-2533 | 2020-08-13 |
| 1568072254 | Marian Margaret Spiess | Counselor | 2200 1st Ave S, Minneapolis, MN 55404-3401 | 2020-08-06 |
| 1689201352 | Alyssa Mary Nyberg | Counselor | 2960 Winnetka Ave N Ste 1010, Minneapolis, MN 55427-2853 | 2020-03-24 |
| 1497392666 | Kristine Geraldine Hanson | Counselor | 2611 40th Ave S, Minneapolis, MN 55406-1862 | 2019-12-05 |
| 1265080501 | Carolyn J Niesche | Counselor | 2518 N 2nd St Ste 113, Minneapolis, MN 55411-2259 | 2019-08-29 |
| 1053966069 | Shane Jensen | Counselor | 610 22nd Ave S, Minneapolis, MN 55454-1315 | 2019-08-06 |
| 1114584760 | Lynn Marie Allar | Counselor | 2200 E Franklin Ave Ste 200a, Minneapolis, MN 55404-2395 | 2019-05-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on EMMANUEL LEGMAN PENA.
| 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.