ELISSA L HARTWIG (NPI# 1487169488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487169488 |
| Entity Type | Individual |
| Full Name | ELISSA L HARTWIG |
| Credential | LADC |
| Practice Address |
15940 Pine Shores Rd Brainerd MN 56401-5827 |
| Practice Telephone | 2188313043 |
| Mailing Telephone | 2188313043 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303653 | MN | Behavioral Health & Social Service Providers |
| Street Address |
15940 PINE SHORES RD |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043569049 | Ralph Berry | Counselor | 15 Washington St Ste 4, Brainerd, MN 56401-3351 | 2012-09-05 |
| 1912037276 | Ladonna Strange | Counselor | 2027 S 6th St, Suite 203, Brainerd, MN 56401-5500 | 2007-03-06 |
| 1396359493 | Christy Lee Dano | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2020-09-04 |
| 1457817330 | Judy Kriesel | Counselor | 2215 S 6th St, Brainerd, MN 56401-5549 | 2019-02-15 |
| 1306324777 | Anne Marie Roach | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-07-29 |
| 1609363340 | Myrna Jean Deyoung | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-04-18 |
| 1295255537 | Paul Joseph Mccormick | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2017-06-27 |
| 1194185728 | Carlyn Becker | Counselor | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401-2887 | 2016-02-24 |
| 1881051621 | Miranda Kay Skinner | Counselor | 520 Nw 5th St, Brainerd, MN 56401 | 2016-01-25 |
| 1427423987 | Troy Delbert Heagle | Counselor | 2215 S 6th St, Brainerd, MN 56401-5549 | 2015-12-09 |
| Find all providers in BRAINERD | ||||
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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.