PHIL EWOLDSEN (NPI# 1629036876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629036876 |
| Entity Type | Individual |
| Full Name | PHIL EWOLDSEN |
| Credential | LMFT |
| Practice Address |
4201 S 7th St Terre Haute IN 47802-4367 |
| Mailing Address |
Po Box 4323 Terre Haute IN 47804-0323 |
| Practice Telephone | 8122318133 |
| Practice Fax Number | 8122329365 |
| Mailing Telephone | 8122318323 |
| Mailing Fax Number | 8122318400 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IN | Behavioral Health & Social Service Providers |
| Street Address |
4201 S 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131810 | Paul Reising | Social Worker | 4201 S 7th St, Terre Haute, IN 47802-4367 | 2006-07-07 |
| 1760433213 | Robert Loheide | Psychologist | 4201 S 7th St, Terre Haute, IN 47802-4367 | 2006-05-12 |
| 1770533101 | John Kuchinskas | Social Worker | 4201 S 7th St, Terre Haute, IN 47802-4367 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1235571795 | Lynsey Grant | Marriage & Family Therapist | 500 8th Ave, Terre Haute, IN 47804-4072 | 2013-07-25 |
| 1629339627 | Joyce Joann Knutti | Marriage & Family Therapist | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2012-06-06 |
| 1346550894 | Irma Diana Davis | Marriage & Family Therapist | 619 Cherry St, Terre Haute, IN 47807-3125 | 2010-10-18 |
| 1619296456 | Kriston K. Anderson | Marriage & Family Therapist | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2010-05-19 |
| 1548481880 | Gibault Care, Inc. | Marriage & Family Therapist | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2007-05-02 |
| 1194805408 | H. Keith Gaddis | Marriage & Family Therapist | 2901 Ohio Blvd, Suite 202, Terre Haute, IN 47803-2239 | 2006-10-17 |
| 1609835131 | Margaret Bourne | Marriage & Family Therapist | 1400 E Pugh Dr, Suite 16, Terre Haute, IN 47802-3942 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1396362919 | Briana N Roberts | Marriage & Family Therapist | 2021 E 84th St Apt 2b, Merrillville, IN 46410-8305 | 2020-06-30 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1093330920 | Ann Marie Ravenna | Marriage & Family Therapist | 54 N 9th St Ste 254, Noblesville, IN 46060-2208 | 2020-06-16 |
| 1770107435 | Lauren Salazar | Marriage & Family Therapist | 54 N 9th St Ste 230, Noblesville, IN 46060-2208 | 2020-05-28 |
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1437785060 | Crystal Jessee | Marriage & Family Therapist | 7230 Arbuckle Cmns Ste 239, Brownsburg, IN 46112-1797 | 2020-03-16 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on PHIL EWOLDSEN.
| 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.