ANDREA E LAVERDURE (NPI# 1588848741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588848741 |
| Entity Type | Individual |
| Full Name | ANDREA E LAVERDURE |
| Credential | LPC |
| Practice Address |
113 Main Ave E Rolla ND 58367 |
| Mailing Address |
Po Box 650 Devils Lake ND 58301-0650 |
| Practice Telephone | 7014778272 |
| Practice Fax Number | 7014778271 |
| Mailing Telephone | 7014778272 |
| Mailing Fax Number | 7014778271 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 41211198 | ND | Behavioral Health & Social Service Providers |
| Street Address |
113 MAIN AVE E |
| City | ROLLA |
| State | ND |
| Zip Code | 58367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537357 | Cynthia Bercier | Counselor | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-06-15 |
| 1366776437 | Patricia J Sitter | Counselor | 113 Main Ave E, Rolla, ND 58367-0088 | 2009-09-23 |
| 1629224829 | Susan M. Davis | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2008-08-07 |
| 1083881510 | Wanda Jean Lamotte | Counselor | 113 Main Ave E, Rolla, ND 58367-2951 | 2008-05-14 |
| 1750565917 | Lisa Marie Neameyer | Social Worker | 113 Main Ave E, Rolla, ND 58367 | 2007-12-24 |
| 1992912554 | Glenn B Longie | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2007-05-16 |
| 1679654073 | Jessica Davis | Social Worker | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-10-18 |
| 1932280336 | Lisa Hoffman | Social Worker | 113 Main Ave E, Rolla, ND 58367-7104 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946343 | Kayla M Wallette | Technician, Other | 1102 Main Ave, Rolla, ND 58367 | 2020-03-06 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1598138745 | Catherine Minick | Case Manager/Care Coordinator | 1102 Main Ave W, Rolla, ND 58367 | 2015-11-10 |
| 1881008266 | Rolette County Social Services | Case Management | 210 2nd Ave Ne, Rolla, ND 58367 | 2014-06-13 |
| 1346318268 | Commmunity Ambulance Service, Inc | Ambulance | 217 5th Ave Ne, Rolla, ND 58367 | 2006-11-30 |
| 1831735257 | Kyla Marie Larocque | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2019-11-20 |
| 1598204489 | Laura L Waagen | Social Worker | 1102 Main Ave W, Rolla, ND 58367 | 2017-02-13 |
| 1225369523 | Northland Health Partners Community Health Center | Clinic/Center | 114 3rd St Ne, Rolla, ND 58367 | 2010-01-26 |
| 1316037575 | Carolyn Marie Counts | Pharmacist | 117 E Main St, Rolla, ND 58367 | 2006-10-16 |
| 1609887397 | Tri-care Home Health Inc | Home Health | 1104 Hwy 5 W, Rolla, ND 58367-0040 | 2006-08-10 |
| Find all providers in zip 58367 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1174846075 | Mary Kathleen Robinson-black | Counselor | 1003 Hauck Dr, Rolla, MO 65401-2584 | 2010-03-05 |
| 1598849341 | Peggy Lee Fox | Counselor | 575b Blues Lake Pkwy, Rolla, MO 65401-8587 | 2006-10-25 |
| 1225595309 | Marie C Romer | Counselor | 103 W 10th St, Rolla, MO 65401-3247 | 2019-02-26 |
| 1528451804 | Anna Bray | Counselor | 1081 E 18th St, Rolla, MO 65401-2448 | 2015-03-11 |
| 1427360155 | David Brian Bruno | Counselor | 616 N Pine St, Rolla, MO 65401-3136 | 2010-07-10 |
| 1508065673 | Maudanne Pursley | Counselor | 1450 E 10th St, Rolla, MO 65401 | 2007-07-17 |
| 1811106644 | Heather R. Derix | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2007-05-21 |
| 1346228145 | Roxane L Netzler | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2006-01-03 |
| 1578549796 | Gretchen M Hessler | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2005-12-20 |
| Find all providers in ROLLA | ||||
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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.