KRISTINE MARIE SHOEN (NPI# 1558549907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558549907 |
Entity Type | Individual |
Full Name | KRISTINE MARIE SHOEN |
Credential | LICSW |
Practice Address |
112 W 1st St Suite 104 Fairmont MN 56031-1743 |
Mailing Address |
117 Downtown Plz Suite 104 Fairmont MN 56031-1726 |
Practice Telephone | 5073992149 |
Practice Fax Number | 5073992159 |
Mailing Telephone | 5073992149 |
Mailing Fax Number | 5073992159 |
Enumeration Date | 2008-02-07 |
Last Update Date | 2016-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
17553 | MN | Behavioral Health & Social Service Providers |
Street Address |
112 W 1ST ST SUITE 104 |
City | FAIRMONT |
State | MN |
Zip Code | 56031-1743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477829737 | Krisma Counseling Inc. | Social Worker | 112 W 1st St, Suite 104, Fairmont, MN 56031-1743 | 2012-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
Find all providers in zip 56031 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962067405 | Jj Counseling LLC | Counselor | 112 W 1st St Ste 104, Fairmont, MN 56031-1744 | 2019-05-09 |
1568935500 | Demetrius Jerome Hill | Counselor | 612 Red Cross St, Fairmont, NC 28340-2246 | 2019-01-02 |
1902196207 | Molly Jean Weinberger | Counselor | 117 Downtown Plz, Fairmont, MN 56031-1726 | 2011-04-08 |
1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
1568664639 | Margaret Anne Wolfe | Counselor | 28 Oakwood Road, Fairmont, WV 26554 | 2007-06-01 |
1700904240 | Timko Counseling Services, LLC | Counselor | 109 Fairmont Ave, Suite 1, Fairmont, WV 26554-2815 | 2007-03-26 |
1942370911 | Stacey Lynn Crandall | Counselor | 202 Columbia St, New Beginnings, Fairmont, WV 26554-4047 | 2006-11-08 |
1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
1356455091 | Family Service of Marion & Harrison Counties Inc | Counselor | 1313 Locust Ave, Suite 101, Fairmont, WV 26554-1435 | 2006-08-19 |
1629067004 | Susane Erickson | Counselor | 448 Leonard Ave, Fairmont, WV 26554-3843 | 2005-10-18 |
Find all providers in FAIRMONT |
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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.