MESABACARE LLC (NPI# 1447817978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447817978 |
Entity Type | Organization |
Organization Name | MESABACARE LLC |
Practice Address |
405 W 3rd Ave N Aurora MN 55705-1247 |
Mailing Address |
315 Brandon Rd Hoyt Lakes MN 55750-1203 |
Practice Telephone | 2182907301 |
Mailing Telephone | 2182907301 |
Enumeration Date | 2019-05-21 |
Last Update Date | 2019-06-11 |
Authorized Official Name | DR. CHAD SAMUEL SCOTT (OWNER/COUNSELOR) |
Authorized Official Telephone | 2182907301 |
Authorized Official Credential | PH.D., LPCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
MesabaCare LLC | Doing Business As Name - Organization |
Street Address |
405 W 3RD AVE N |
City | AURORA |
State | MN |
Zip Code | 55705-1247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
1265533400 | Ericka Janette Lamar | Psychologist | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705 | 2006-09-26 |
1457958498 | Carol Ruth Haasl | Community Health Worker | 215 W 4th Ave N, Aurora, MN 55705-1252 | 2020-10-02 |
1649335167 | Independent School District No. 2711 | Local Education Agency (LEA) | 601 N 1st St W, Aurora, MN 55705-1301 | 2006-12-26 |
1275617128 | John Wayne Samuelson | Chiropractor | 13 W 2nd Ave N, Aurora, MN 55705-1313 | 2006-10-25 |
1235465949 | United Telecare Inc. | In Home Supportive Care | 103 W 3rd Ave N, Aurora, MN 55705-1331 | 2009-10-30 |
Find all providers in zip 55705 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477920213 | Scott Stewart | Counselor | 10782 E Alameda Ave, Aurora, CO 80012-1017 | 2015-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205338969 | Tara M Prom | Counselor | 22 Wilson Ave Ne Suite 110, Po Box 6069, Saint Cloud, MN 56302-6069 | 2018-03-08 |
1932556974 | Duluth Core Learning | Counselor | 1831 E 8th St Unit 103, Duluth, MN 55812-1365 | 2016-05-19 |
1518243963 | Rochester Math & Science Academy | Counselor | 415 16th St Sw, Rochester, MN 55902-2125 | 2011-10-31 |
1326254996 | Gayle Maureen Vaughan | Counselor | 2240 Ridge Dr, #14, St Louis Park, MN 55416-5627 | 2007-05-14 |
1083746085 | Kathy Maria Thomas | Counselor | 5553 Fremont Ave S, Minneapolis, MN 55419-1626 | 2007-03-12 |
1578177580 | Joseph R Lundsten | Counselor | 1995 Luther Ct, New Ulm, MN 56073-3965 | 2020-09-08 |
1033734504 | Emily Nelson | Counselor | 7575 150th St W, Savage, MN 55378-2131 | 2020-06-10 |
1144720400 | Erika Heltner | Counselor | 7582 Currell Blvd Ste 208, Woodbury, MN 55125-2471 | 2018-02-13 |
1558875856 | Abdisallam Ahmed Abdulle | Counselor | 8609 Lyndale Ave S Ste 213c, Minneapolis, MN 55420-2769 | 2017-11-22 |
1396071486 | Nida Gauhar | Counselor | 1133 Grand Ave, Saint Paul, MN 55105-2629 | 2009-10-23 |
Find all providers with the same taxonomy |
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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.