DR. COURTNEY GUNDRUM (NPI# 1508411711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508411711 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY GUNDRUM |
| Credential | PSYD |
| Practice Address |
3033 Excelsior Blvd Minneapolis MN 55416-4688 |
| Mailing Address |
12411 Lever St Ne Blaine MN 55449-6617 |
| Practice Telephone | 6129792276 |
| Mailing Telephone | 2626895638 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3033 EXCELSIOR BLVD |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439418 | Amanda R Brummel | Pharmacist | 3033 Excelsior Blvd, Suite 275, Minneapolis, MN 55416-4688 | 2005-07-01 |
| 1295391878 | Rachel Mary Hanson | Social Worker | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2019-05-19 |
| 1407339005 | Kathleen Gehring Anderson | Counselor | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2018-09-10 |
| 1427408970 | Gaura Saini | Physical Therapist | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-4688 | 2016-06-15 |
| 1548614688 | Ashley Marie Janovsky | Advanced Practice Midwife | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2016-04-14 |
| 1609241801 | Fairview Health Services | Clinic/Center | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2015-12-14 |
| 1003206731 | Camille Ashley Schwarzrock | Nurse Practitioner | 3033 Excelsior Blvd, Suite 403, Minneapolis, MN 55416-4688 | 2015-02-03 |
| 1750771143 | Willow Midwives Ltd | Clinic/Center | 3033 Excelsior Blvd, Suite 585, Minneapolis, MN 55416-4688 | 2015-01-23 |
| 1245629369 | Eyecare Mpls Pllc | Clinic/Center | 3033 Excelsior Blvd, Suite 205, Minneapolis, MN 55416-4688 | 2015-01-13 |
| 1780080937 | Jenni Meyer | Advanced Practice Midwife | 3033 Excelsior Blvd, Ste 585, Minneapolis, MN 55416-4688 | 2014-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| 1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
| 1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
| 1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
| 1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
| 1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
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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.