MARK ANTHONY COEN (NPI# 1588227342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588227342 |
Entity Type | Individual |
Full Name | MARK ANTHONY COEN |
Credential | LADC |
Practice Address |
505 S 12th Ave W Virginia MN 55792-3099 |
Mailing Address |
2104 6th Ave E Hibbing MN 55746-1821 |
Practice Telephone | 2187492877 |
Practice Fax Number | 2187496033 |
Mailing Telephone | 2182312413 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303198 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518008291 | Mark Steven Coen | Social Worker | 8011 118th Ave Ne, Kirkland, WA 98033-8031 | 2007-02-08 |
Street Address |
505 S 12TH AVE W |
City | VIRGINIA |
State | MN |
Zip Code | 55792-3099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568441889 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2006-01-13 |
1336658533 | Jeris Jean Vaida | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-09-20 |
1255858510 | Carol Camille Peterson | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
1013434224 | Gregory Edward Golen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
1588181952 | Rachel Marie Oivanti | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-27 |
1780101188 | Danielle Rae Spolarich | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-25 |
1922078724 | Patricia A Corey | Nurse Practitioner | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
Find all providers in zip 55792 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790254936 | Erin Monica Scovell | Counselor | 300 S 5th Ave, Virginia, MN 55792-2665 | 2018-11-16 |
1023523230 | Heidi Ann Hansen | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2017-12-11 |
1013018480 | Alan A Abraham | Counselor | 626 S 13th St, Detox Range Treatment Center, Virginia, MN 55792 | 2006-09-26 |
1619984028 | Arrowhead Center, Inc | Counselor | 505 12th Ave West, Suite 1, Virginia, MN 55792 | 2006-08-01 |
1942821640 | Cassandra Jo Adams | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2020-05-04 |
1497389647 | Laura Larsen | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2020-02-26 |
1336658533 | Jeris Jean Vaida | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-09-20 |
1811415870 | Jane Johnsen | Counselor | 505 12th Ave West, Suite 1, Virginia, MN 55792 | 2017-08-30 |
1255858510 | Carol Camille Peterson | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
1013434224 | Gregory Edward Golen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
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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.