THE SOUL CENTER (NPI# 1689217838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689217838 |
| Entity Type | Organization |
| Organization Name | THE SOUL CENTER |
| Practice Address |
6607 18th Ave S Ste 201 Richfield MN 55423-2700 |
| Mailing Address |
8706 Thomas Ave S Bloomington MN 55431-1946 |
| Practice Telephone | 6127994274 |
| Mailing Telephone | 6127994274 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | DANIELLE COTTER (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 6127994274 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE SOUL CENTER LLC | 291 County Rte 89, Oswego, Ny 13126 |
| Connecticut Business Registrations | THE SOUL CENTER, INCORPORATED | 251 Long Ridge Rd., Stamford, CT 06902 |
| Street Address |
6607 18TH AVE S STE 201 |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962878751 | Maureen Campion | Psychologist | 6607 18th Ave S Ste 201, Richfield, MN 55423-2700 | 2015-08-15 |
| 1508396078 | Erin Venker | Counselor | 6607 18th Ave S Ste 201, Richfield, MN 55423-2700 | 2017-06-15 |
| 1760848493 | Jayme Kolbo | Counselor | 6607 18th Ave S Ste 201, Richfield, MN 55423-2700 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| 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 |
|---|---|---|---|---|
| 1598374134 | Troy Faddis, Lmft - Pllc | Marriage & Family Therapist | 72 W Patriot Way Unit 1139, Richfield, UT 84701-1888 | 2020-07-29 |
| 1114314473 | Lorene Jabola | Marriage & Family Therapist | 1550 E 78th St Fl 1, Richfield, MN 55423-4638 | 2015-04-23 |
| 1750514188 | Ruth Karin Dahle Buelow | Marriage & Family Therapist | 1550 E 78th St, 1st Floor, Richfield, MN 55423-4638 | 2009-09-02 |
| 1760677942 | Jennifer Pearson | Marriage & Family Therapist | 6636 Cedar Ave S Ste 380, Richfield, MN 55423-2712 | 2007-09-11 |
| 1083839807 | Mary Jo Isabel Avendano | Marriage & Family Therapist | 6401 Lyndale Ave S, Suite 315, Richfield, MN 55423-1405 | 2007-04-16 |
| 1427595628 | Mi Ki Leong | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2017-01-25 |
| 1467904342 | Michele Mei Michaelson | Marriage & Family Therapist | 6607 18th Ave S, Richfield, MN 55423-2784 | 2016-10-26 |
| 1750839734 | Jacob Paul Lehrer | Marriage & Family Therapist | 6607 18th Ave S, Ste 101, Richfield, MN 55423-2784 | 2016-09-19 |
| 1417324179 | Chris Bezenson | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2015-08-28 |
| 1740674605 | Encouraging Life Resources | Marriage & Family Therapist | 1550 E 78th St, Richfield, MN 55423-4638 | 2015-03-27 |
| Find all providers in RICHFIELD | ||||
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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.