FAMILY LIFESTYLES, COUNSELING & THERAPY


Address: 5100 Thimsen Ave, Suite 130, Minnetonka, MN 55345-4108
Phone: 6127167159

FAMILY LIFESTYLES, COUNSELING & THERAPY (NPI# 1629390125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629390125
Entity Type Organization
Organization Name FAMILY LIFESTYLES, COUNSELING & THERAPY
Practice Address 5100 Thimsen Ave
Suite 130
Minnetonka
MN 55345-4108
Practice Telephone 6127167159
Practice Fax Number 9524744025
Mailing Telephone 6127167159
Mailing Fax Number 9524744025
Enumeration Date 2010-02-24
Last Update Date 2010-02-24
Authorized Official Name MR. KEVIN H. BLONIGEN (PRESIDENT)
Authorized Official Telephone 6127167159
Authorized Official Credential M.A., L.P
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP 3981 MN Behavioral Health & Social Service Providers

Office Location

Street Address 5100 THIMSEN AVE
SUITE 130
City MINNETONKA
State MN
Zip Code 55345-4108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578637534 Kevin H Blonigen Psychologist 5100 Thimsen Ave, Suite 130, Minnetonka, MN 55345-4108 2006-11-20
1619208329 Ina Lasmane Marriage & Family Therapist 5100 Thimsen Ave, Suite 120, Minnetonka, MN 55345-4108 2010-01-20
1356555346 Susan P Brokaw Marriage & Family Therapist 5100 Thimsen Ave, Suite 130, Minnetonka, MN 55345-4108 2007-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417587205 Pain Partners LLC Pharmacist 15225 Wild Wings Court, Minnetonka, MN 55345 2020-01-21
1356811608 Caitlin Marie Peterson Specialist/Technologist 15708 Wood Knoll Lane, Minnetonka, MN 55345 2018-11-29
1649747007 West Side Counseling LLC Community/Behavioral Health 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 2018-10-24
1689173247 Theresa Tsuchiya Psychologist Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 2018-02-08
1497264147 Minnetonka Assisted Living and Hospice Community Health Worker 14667 Lake Street Extension, Minnetonka, MN 55345 2017-09-26
1619494671 Shree Revenue Management Durable Medical Equipment & Medical Supplies 6117, Creek Ridge Ct, Minnetonka, MN 55345 2017-08-29
1538606876 Stefani Yanizeski Speech-Language Pathologist Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 2017-01-25
1790157469 Greg Anderson Psychologist 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 2015-10-21
1861896375 Kristine L Smith Marriage & Family Therapist 5125 County Road 101 Suite 300, Minnetonka, MN 55345 2014-10-13
1982014460 Miranda Jean Johnson Speech-Language Pathologist 15265 Minnetonka Blvd., Minnetonka, MN 55345 2014-05-06
Find all providers in zip 55345

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689173247 Theresa Tsuchiya Psychologist Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 2018-02-08
1891167250 Jared Andersson Psychologist 14451 Highway 7 Ste 2a, Minnetonka, MN 55345-3728 2015-10-26
1790157469 Greg Anderson Psychologist 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 2015-10-21
1538393624 Rachel S Rippel Psychologist 12301 Whitewater Dr Ste 30, Minnetonka, MN 55343-4157 2009-05-05
1962669440 Leslie Anne Maycroft Psychologist 10520 Wayzata Boulevard, Minnetonka, MN 55305 2008-05-21
1831364066 Kari Barth Psychologist 14001 Ridgedale Dr Ste 330, Minnetonka, MN 55305-1783 2008-04-29
1841400579 Craig Carlson Psychologist 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 2007-05-23
1730399601 Renae Mary Reinardy Kragness Psychologist 14525 Highway 7, Suite 340, Minnetonka, MN 55345-3734 2007-05-22
1538294426 John Chester Gonsiorek Psychologist 3514 Lilac Ln, Minnetonka, MN 55345-1022 2007-02-22
1669527651 Joan Marie Oslund-goleczka Psychologist 3829 Dartmouth Dr, Minnetonka, MN 55345-1712 2007-01-23
Find all providers in MINNETONKA

Competitor

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City MINNETONKA
Zip Code 55345

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Dataset Information

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.

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