MR. DAVID DIEDERICH CHURCHILL (NPI# 1588113849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588113849 |
Entity Type | Individual |
Full Name | MR. DAVID DIEDERICH CHURCHILL |
Credential | LMFT |
Practice Address |
980 S Tower Rd Fergus Falls MN 56537-5505 |
Practice Telephone | 2187366987 |
Practice Fax Number | 2187366980 |
Mailing Telephone | 2187366987 |
Mailing Fax Number | 1827366980 |
Enumeration Date | 2016-09-28 |
Last Update Date | 2019-02-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 3351 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1500 S Cascade St, Fergus Falls, MN 565373602 | 2187313490 | 2182127396 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
1417259995 | David Churchill | Behavioral Analyst | 2535 W Cheyenne Ave Ste 102, North Las Vegas, NV 89032-8930 | 2010-12-03 |
1144209503 | David A Churchill | Internal Medicine | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057-9248 | 2006-01-13 |
Street Address |
980 S TOWER RD |
City | FERGUS FALLS |
State | MN |
Zip Code | 56537-5505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366480287 | Lakeland Mental Health Center, Inc. | Case Management | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2006-06-03 |
1447857537 | Hillary Langfeld | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2020-10-02 |
1215591300 | Dawn Marie Gehrke | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2019-04-24 |
1861989378 | Colleen L Kennedy | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2018-04-19 |
1104332030 | Genny Marie Kuhn-rice | Counselor | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2017-12-14 |
1942711148 | Tera Mary Oland | Counselor | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2017-10-16 |
1265967368 | Britt Piekarski | Counselor | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2017-04-26 |
1063869055 | Lakeland Mental Health Center | Case Manager/Care Coordinator | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-05-19 |
1154778140 | Lakeland Mental Health Center | Case Manager/Care Coordinator | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-05-19 |
1972950962 | Lakeland Mental Health Center | Case Manager/Care Coordinator | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2016-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
Find all providers in zip 56537 |
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 |
---|---|---|---|---|
1891347357 | Grenvik Counseling & Mediation | Marriage & Family Therapist | 125 W Lincoln Ave Ste 4, Fergus Falls, MN 56537-2152 | 2019-07-15 |
1902012644 | Carmen Sue Graumann | Marriage & Family Therapist | 1231 N Concord St, Fergus Falls, MN 56537-1546 | 2007-05-16 |
1568093532 | Tamera Schwantes Churchill | Marriage & Family Therapist | 125 W Lincoln Ave Ste 10, Fergus Falls, MN 56537-2152 | 2020-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295491 | Wanda Baker | Marriage & Family Therapist | 653 Galtier St Apt 109, Saint Paul, MN 55103-1793 | 2020-11-02 |
1437750056 | Tanner Zimmerman | Marriage & Family Therapist | 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 | 2020-11-02 |
1063012839 | Rosemary Ann Senjem | Marriage & Family Therapist | 305 Greeley St S Ste 105, Stillwater, MN 55082-7029 | 2020-10-29 |
1609476738 | Shelly Melroe | Marriage & Family Therapist | 700 Twelve Oaks Center Dr Ste 700, Wayzata, MN 55391-4405 | 2020-10-28 |
1023617933 | Rachael Lee Cavegn | Marriage & Family Therapist | 4969 Hillvale Ave N, Oakdale, MN 55128-2212 | 2020-10-21 |
1669071528 | Lineage Counseling | Marriage & Family Therapist | 4900 Highway 169 N Ste 115, New Hope, MN 55428-4058 | 2020-10-21 |
1528667631 | Brittany L Denucci | Marriage & Family Therapist | 324 W Superior St Ste 828, Duluth, MN 55802-1719 | 2020-10-20 |
1841899184 | Michelle Suarez | Marriage & Family Therapist | 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 | 2020-10-19 |
1649878927 | Judith Ann Richardson-mahre | Marriage & Family Therapist | 15699 Highview Dr, Apple Valley, MN 55124-7001 | 2020-10-09 |
1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
Find all providers with the same taxonomy |
City | FERGUS FALLS |
Zip Code | 56537 |
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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.