JENNY WETTERSTEN (NPI# 1619181492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619181492 |
| Entity Type | Individual |
| Full Name | JENNY WETTERSTEN |
| Credential | MA, LP |
| Practice Address |
1215 Se 7th Ave Grand Rapids MN 55744-4201 |
| Mailing Address |
215 Se 2nd Ave Grand Rapids MN 55744-3615 |
| Practice Telephone | 2183131316 |
| Practice Fax Number | 2183271932 |
| Mailing Telephone | 2183131316 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3555 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UNITED BEHAVIORAL SYSTEMS | 62 42586 | 01 |
| MN | BCBS OF MINNESOTA | 8H460WE | 01 |
| MN | PREFERRED ONE | 1010749 | 01 |
| Street Address |
1215 SE 7TH AVE |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428511 | Sara Sundquist Castle | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2020-02-11 |
| 1881040145 | Aricka Renee Meyer | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2016-05-05 |
| 1992185524 | Northland Recovery Center | Community/Behavioral Health | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2015-06-09 |
| 1578962338 | Kelly Kerr | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2014-08-18 |
| 1558760322 | Kelly Owens | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2014-08-18 |
| 1326369869 | Laura Roy | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2010-06-18 |
| 1902065964 | Deborah Jean Sullivan | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2008-06-05 |
| 1225215122 | Mark W. Anderson | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2008-01-23 |
| 1053500017 | Northland Counseling Center, Inc. | Substance Abuse Rehabilitation Facility | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2007-10-16 |
| 1043428733 | Bruce Haag | Counselor | 1215 Se 7th Ave, Grand Rapids, MN 55744-4201 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427553007 | Rachel E Keelan | Psychologist | 350 Lafayette Ave Se Fl 5, Grand Rapids, MI 49503-4656 | 2018-03-27 |
| 1235504655 | Olivia Torres Sprauer | Psychologist | 833 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-2390 | 2015-12-10 |
| 1366835589 | Dr Marcia Hollingsworth, Ed.d, Pllc | Psychologist | 2025 E Beltline Ave Se Ste 102, Grand Rapids, MI 49546-7673 | 2015-03-12 |
| 1881945855 | John Shepherd Carton | Psychologist | 265 Wealthy St Se, Grand Rapids, MI 49503 | 2012-10-01 |
| 1386995900 | Jane L. Spies-wert, Ph.d., P.C. | Psychologist | 15 Ionia Ave Sw, Suite 645, Grand Rapids, MI 49503-4102 | 2012-09-21 |
| 1144577396 | Amy Kristine Byerley | Psychologist | 668 3 Mile Rd Nw Ste D, Grand Rapids, MI 49544-8219 | 2012-08-07 |
| 1326271750 | Jonathan Jay Eggerichs | Psychologist | 770 Kenmoor Ave Se Ste 101, Grand Rapids, MI 49546-8621 | 2009-09-02 |
| 1669604658 | Lyndsay Kate Volpe-bertram | Psychologist | 1179 East Paris Ave Se, Grand Rapids, MI 49546-8371 | 2009-08-10 |
| 1568609659 | Dr. Steven A. Harris, P.C. | Psychologist | 2618 East Paris, S.e. Suite B, Grand Rapids, MI 49546 | 2009-01-12 |
| 1255586228 | Dominic Amante | Psychologist | 29 Pearl N.w., 114 Federal Square Bldg., Grand Rapids, MI 49503 | 2008-11-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on JENNY WETTERSTEN.
| 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.