MESABACARE LLC


Address: 405 W 3rd Ave N, Aurora, MN 55705-1247
Phone: 2182907301

MESABACARE LLC (NPI# 1447817978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
MesabaCare LLC Doing Business As Name - Organization

Office Location

Street Address 405 W 3RD AVE N
City AURORA
State MN
Zip Code 55705-1247

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477920213 Scott Stewart Counselor 10782 E Alameda Ave, Aurora, CO 80012-1017 2015-08-27

Providers in the same taxonomy and state

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
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Competitor

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City AURORA
Zip Code 55705

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Dataset Information

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.

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