MRS. JEANETTE NICOLE MATTHEWS (NPI# 1518354315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518354315 |
| Entity Type | Individual |
| Full Name | MRS. JEANETTE NICOLE MATTHEWS |
| Credential | LMFT, LADC |
| Practice Address |
111 Hundertmark Rd Ste 205n Chaska MN 55318-1586 |
| Mailing Address |
1934 Hennepin Ave Ste 300 Minneapolis MN 55403-4035 |
| Practice Telephone | 9529031376 |
| Practice Fax Number | 9524263856 |
| Mailing Telephone | 9529031359 |
| Mailing Fax Number | 6125844495 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302803 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 2740 | MN | Behavioral Health & Social Service Providers |
| Street Address |
111 HUNDERTMARK RD STE 205N |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
| 1609473990 | Nathaniel Martin Shields | Counselor | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2020-10-08 |
| 1861909012 | Sarah Tague | Registered Nurse | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2018-01-09 |
| 1982132205 | Nicole Melson | Counselor | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2017-05-31 |
| 1669925228 | Stephen Dahl | Social Worker | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2016-08-01 |
| 1346622248 | Megan Boyington | Social Worker | 111 Hundertmark Rd Ste 205n, 212 Medical Building, Chaska, MN 55318-1586 | 2015-06-26 |
| 1649678848 | Amy Louise-vannurden Swingle | Psychologist | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2014-12-21 |
| 1619152097 | Richard Todd Peterson | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2008-01-04 |
| 1508072604 | Kelly Ann Senesac | Marriage & Family Therapist | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265654 | Katey Marie Lindell | Marriage & Family Therapist | 1107 Hazeltine Blvd Ste 471, Chaska, MN 55318-1067 | 2018-02-15 |
| 1457795361 | Lucas Arthur Volini | Marriage & Family Therapist | 1435 White Oak Dr Ste 200, Chaska, MN 55318-2567 | 2013-04-22 |
| 1629339544 | George Brisse | Marriage & Family Therapist | 207 N Chestnut St Ste 130, Chaska, MN 55318-2932 | 2012-06-06 |
| 1629347653 | Connie Mae Carlson | Marriage & Family Therapist | 1555 Bender Rd, Chaska, MN 55318-2613 | 2011-12-20 |
| 1386896678 | Charlene Ann Forcier | Marriage & Family Therapist | 303 E 6th St, Chaska, MN 55318-2103 | 2008-10-17 |
| 1043489891 | Chad A. Hayenga | Marriage & Family Therapist | 566 Bavaria Ln, Box 71, Chaska, MN 55318-4597 | 2008-02-26 |
| 1255403234 | Family Therapy Specialists, Inc | Marriage & Family Therapist | 112 E 5th St Ste 202, Chaska, MN 55318-2252 | 2006-11-14 |
| 1548367568 | Mary Dahnert | Marriage & Family Therapist | 510 N Chestnut St, Suite #203, Chaska, MN 55318-3300 | 2006-09-20 |
| 1245862820 | Imprinted Counseling, Pllc | Marriage & Family Therapist | 1107 Hazeltine Blvd Ste 471, Chaska, MN 55318-1067 | 2020-02-11 |
| 1679924294 | Michelle Tschida | Marriage & Family Therapist | 510 N Chestnut St, Chaska, MN 55318-3300 | 2016-06-24 |
| Find all providers in CHASKA | ||||
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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.