DR. LARAE M JOME (NPI# 1699016113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699016113 |
| Entity Type | Individual |
| Full Name | DR. LARAE M JOME |
| Credential | PH.D. |
| Practice Address |
7026 E Fish Lake Rd Maple Grove MN 55311-2832 |
| Mailing Address |
6340 Ithaca Ln N Maple Grove MN 55311-4146 |
| Practice Telephone | 7637726272 |
| Mailing Telephone | 7637726272 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP5850 | MN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
015031 | NY | Behavioral Health & Social Service Providers |
| Street Address |
7026 E FISH LAKE RD |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1285062133 | Roots Psychological Services, LLC | Community/Behavioral Health | 7026 E Fish Lake Rd, Maple Grove, MN 55311-2832 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| 1912053422 | Lawrence Joseph Kotok | Dentist | 16342 County Rd 30, Maple Grove, MN 55311 | 2007-01-26 |
| Find all providers in zip 55311 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031407 | Wisconsin Lutheran Child & Family Service,inc. | Psychologist | 9200 Elm Creek Blvd N, Maple Grove, MN 55369-5012 | 2017-09-06 |
| 1871123125 | Rachel M Haug | Psychologist | 11280 86th Ave N, Maple Grove, MN 55369-4510 | 2020-01-24 |
| 1114470663 | Rochelle Elizabeth Mccourtney Gredvig | Psychologist | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2016-08-02 |
| 1831233113 | Sarah Faith Collins | Psychologist | 11224 86th Ave N, Maple Grove, MN 55369-4510 | 2007-02-19 |
| 1255418141 | Patricia Collins | Psychologist | 7372 Kirkwood Ct, Innovative Psychological Consultants, Maple Grove, MN 55369-5202 | 2006-10-31 |
| 1093725467 | Jennifer G Enstad | Psychologist | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2006-08-09 |
| 1881618817 | Christian Todd Anderson | Psychologist | 7372 Kirkwood Ct, Maple Grove, MN 55369-5202 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
Please comment or provide details below to improve the information on DR. LARAE M JOME.
| 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.