MS. ANNIE MARIE STAFFORD (NPI# 1508180316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508180316 |
| Entity Type | Individual |
| Full Name | MS. ANNIE MARIE STAFFORD |
| Credential | LADC |
| Practice Address |
1101 E 78th St Ste 100 Bloomington MN 55420-1402 |
| Mailing Address |
1900 Silver Lk Rd. New Brighton MN 55112 |
| Practice Telephone | 5298545034 |
| Practice Fax Number | 9528545363 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2018-10-23 |
| 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) |
302350 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1101 E 78TH ST STE 100 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787502 | Tonya Lynn Goff | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2020-07-07 |
| 1558988956 | Jennifer Ellen Dashow | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2020-07-01 |
| 1457918443 | Carol Lynn Thunderhorse | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2019-05-24 |
| 1316416316 | Stephanie Leigh Kolhei | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2018-11-19 |
| 1174091524 | Ross Andrew Hardman | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2018-11-04 |
| 1326526799 | Kiersten Stuewe-rowe | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2018-07-29 |
| 1023500113 | Jessica Bordenave | Clinical Neuropsychologist | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2018-06-04 |
| 1871003459 | Donald Adams | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2017-10-09 |
| 1477071389 | Steven John Grove | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2017-08-31 |
| 1881121150 | Jennifer Lynn Kahmeyer | Counselor | 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917728 | Courtney Caryl Breyer | Counselor | 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 | 2020-06-17 |
| 1841832938 | Elizabeth Simon Simon | Counselor | 9193 S Greenridge Ln, Bloomington, IN 47401-9015 | 2019-10-10 |
| 1396220703 | Elizabeth Michelle Utterback | Counselor | 4633 W Richland Plaza Dr, Bloomington, IN 47404-9776 | 2018-10-02 |
| 1003316720 | William Douglas Portis | Counselor | 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704-6075 | 2018-02-19 |
| 1346601804 | Colette Maureen Bisanz-haas | Counselor | 9301 Bryant Ave S Ste 107, Bloomington, MN 55420-3438 | 2016-03-11 |
| 1952791733 | Ryan Conway | Counselor | 900 E 7th St, M005, Bloomington, IN 47405-3905 | 2015-01-30 |
| 1629487749 | Deborah C Wilkin | Counselor | 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 | 2014-08-04 |
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1053691717 | Finding Your Path To Freedom | Counselor | 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701-5881 | 2011-08-25 |
| 1528376985 | Countermeasures, Inc. | Counselor | 110 N. Center, Bloomington, IL 61701-5002 | 2010-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
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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.