JESSICA MARIE BACKOWSKI (NPI# 1427424241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427424241 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE BACKOWSKI |
| Practice Address |
6043 Hudson Rd Woodbury MN 55125-1018 |
| Practice Telephone | 6519258200 |
| Mailing Telephone | 6519258200 |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303507 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1035 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6043 HUDSON RD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580058 | Michelle M Murphy | Nurse Practitioner | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125 | 2005-12-29 |
| 1477929438 | Janet Kelson | Marriage & Family Therapist | 6043 Hudson Rd, Suite 140p, Woodbury, MN 55125-1018 | 2015-08-13 |
| 1609256122 | B Tek, LLC | Clinical Medical Laboratory | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1018 | 2015-06-01 |
| 1609113083 | Kb Counseling Evaluation Mediation Services | Marriage & Family Therapist | 6043 Hudson Rd, Suite 140p, Woodbury, MN 55125-1018 | 2013-01-06 |
| 1790035749 | Island Therapeutic Massage | Massage Therapist | 6043 Hudson Rd, Suite 125, Woodbury, MN 55125-1018 | 2012-09-18 |
| 1427320746 | Victoria Stovall | Specialist | 6043 Hudson Rd, Suite 125, Woodbury, MN 55125-1018 | 2012-02-01 |
| 1972874766 | Jean Edith Eich | Psychologist | 6043 Hudson Rd, Suite 290, Woodbury, MN 55125-1018 | 2012-01-25 |
| 1548539786 | Hope Village, LLC | Social Worker | 6043 Hudson Rd, Suite 372, Woodbury, MN 55125-1018 | 2011-12-16 |
| 1356640403 | Barbara Kay Snyder | Counselor | 6043 Hudson Rd, Suite 290, Woodbury, MN 55125-1018 | 2011-03-15 |
| 1144531245 | Rosella Collins-puoch | Social Worker | 6043 Hudson Rd, Suite 372, Woodbury, MN 55125-1018 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1902361603 | Christine Mammes Mental Health Counseling | Counselor | 2 Guilles Ln, Woodbury, NY 11797-2301 | 2019-02-06 |
| 1568963452 | Jenna Kristen Ness | Counselor | 1160 Sunset Bay, Woodbury, MN 55125-8505 | 2018-02-26 |
| 1316457336 | Christopher Joseph Liggio | Counselor | 537 N. Broad Street, Woodbury, NJ 08051 | 2017-10-04 |
| 1548707300 | Hillman Wellness Center, LLC | Counselor | 744 Main St S, Woodbury, CT 06798-3732 | 2017-01-31 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1871968081 | Dana Hillman | Counselor | 27 Ridgewood Rd, Woodbury, CT 06798-3815 | 2015-12-14 |
| 1851792402 | Brooke Denner | Counselor | 7 Hillcrest Ln, Woodbury, NY 11797-1102 | 2014-09-12 |
| 1609185552 | Jeanne Wolfe | Counselor | 8490 Woodbury Crossing, Woodbury, MN 55125-9433 | 2010-09-27 |
| 1437369121 | Karen Song Johnson-cromwell | Counselor | 38 Cooper St, Woodbury, NJ 08096-4667 | 2007-05-23 |
| Find all providers in WOODBURY | ||||
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| 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.