KATHRYN KADLECK (NPI# 1568984987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568984987 |
| Entity Type | Individual |
| Full Name | KATHRYN KADLECK |
| Credential | MSMFT |
| Practice Address |
5407 Excelsior Blvd Ste Ab&e St Louis Park MN 55416-2929 |
| Mailing Address |
1717 Ridge Ave Apt 705 Evanston IL 60201-3878 |
| Practice Telephone | 6127872832 |
| Mailing Telephone | 8474715183 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
5407 EXCELSIOR BLVD STE AB&E |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2929 |
| 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 | 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 |
|---|---|---|---|---|
| 1942854252 | Emilee Marie Rodriguez | Marriage & Family Therapist | 1000 Shelard Pkwy Ste 220, St Louis Park, MN 55426-4911 | 2019-07-25 |
| 1609434174 | Efren Francisco Solanas | Marriage & Family Therapist | 5407 Excelsior Blvd Ste A, St Louis Park, MN 55416-2932 | 2019-05-30 |
| 1275076564 | Aria Counseling, LLC | Marriage & Family Therapist | 6524 Walker St, Suite 209, St Louis Park, MN 55426-4238 | 2016-11-18 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1649635749 | Rachel Ellen Miller Jacobsen | Marriage & Family Therapist | 6524 Walker St Ste 209, St Louis Park, MN 55426-4245 | 2015-12-16 |
| 1295072783 | Angela Josefina Mendez | Marriage & Family Therapist | 4725 Minnetonka Blvd, Apt 102, St Louis Park, MN 55416-5711 | 2013-01-03 |
| 1831478700 | Jeffrey Marc Rosenfeld | Marriage & Family Therapist | 4730 Park Commons Dr Unit 407, St Louis Park, MN 55416-5219 | 2011-08-10 |
| 1457512196 | Molly Charlotte Abeln | Marriage & Family Therapist | 5354 Parkdale Dr Fl 2, St Louis Park, MN 55416-1603 | 2008-06-24 |
| 1891988234 | Molly Tannuzzo | Marriage & Family Therapist | 715 Florida Ave S Ste 307, St Louis Park, MN 55426-1759 | 2007-08-20 |
| 1558581199 | Randi B Deal | Marriage & Family Therapist | 5407 Excelsior Blvd Ste B, St Louis Park, MN 55416-2932 | 2007-04-26 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| 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.