MS. KATHLEEN JOLEEN HERZOG (NPI# 1558867614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558867614 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN JOLEEN HERZOG |
| Credential | MA, LPCC |
| Practice Address |
1125 6th St Se Willmar MN 56201-4675 |
| Mailing Address |
413 E 4th St Litchfield MN 55355-2208 |
| Practice Telephone | 3202354613 |
| Mailing Telephone | 3202212411 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1776 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617926 | Kathleen Susan Herzog | Speech-Language Pathologist | 2324 W 13th St, Otsar Early Childhood Center, Brooklyn, NY 11223-5639 | 2008-11-25 |
| 1881169365 | Kathleen Herzog | Physician Assistant | 5750 E Highway 90, Sierra Vista, AZ 85635-9111 | 2018-10-10 |
| 1205212388 | Kathleen Herzog | Dental Hygienist | 9000 Sw Durham Rd, Building 710, Tigard, OR 97224-5539 | 2015-07-30 |
| Street Address |
1125 6TH ST SE |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-4675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700976800 | Woodland Centers | Clinic/Center | 1125 6th St Se, Willmar, MN 56201-4675 | 2006-10-13 |
| 1932716479 | Sara Lynn Brisse Paesler | Marriage & Family Therapist | 1125 6th St Se, Willmar, MN 56201-4675 | 2020-09-29 |
| 1295360279 | Sarah Marie Coughlin | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2020-03-10 |
| 1841833845 | Lindsay Sarah Anne Abong | Marriage & Family Therapist | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-10-22 |
| 1063054476 | Julie Anne Patten | Psychologist | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-10-17 |
| 1215578950 | Paige C Ruegemer | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-10-03 |
| 1437702289 | Daniel Watts | Nurse Practitioner | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-07-22 |
| 1770048100 | Karen Ann Urban | Psychologist | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-02-11 |
| 1124531025 | Joshua Allen Pierskalla | Marriage & Family Therapist | 1125 6th St Se, Willmar, MN 56201-4675 | 2017-11-14 |
| 1366891756 | Janene Gorsett | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942599865 | Christina Vander Pol | Counselor | 1601 Highway 12 E, Willmar, MN 56201-5817 | 2011-03-31 |
| 1558923169 | Brooke Zebro | Counselor | 201 28th Ave Sw, Willmar, MN 56201-5241 | 2019-07-03 |
| 1730564238 | Cassandra Rice | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2015-07-25 |
| 1992064570 | Sara Barber | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2012-05-16 |
| 1922385889 | Jeanne Jacobs | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2011-11-07 |
| 1033493390 | Elizabeth Ann Lippert | Counselor | 201 28th Ave Sw, Willmar, MN 56201-5241 | 2011-10-05 |
| 1902108343 | Cassie Jean Sonstegard | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2010-11-17 |
| 1275842205 | Matthew Chad Hoekstra | Counselor | 201 28th Ave Sw, Willmar, MN 56201-5241 | 2010-09-24 |
| 1912137845 | Reagan Jane Quinn | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2009-07-27 |
| 1033269162 | Michelle Beeman | Counselor | 214 4th St Sw, Willmar, MN 56201-3330 | 2007-01-11 |
| Find all providers in WILLMAR | ||||
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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.