CARRIE RENEE NILES (NPI# 1700350006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700350006 |
| Entity Type | Individual |
| Full Name | CARRIE RENEE NILES |
| Credential | MA |
| Practice Address |
20 Lake St N Ste 103 Forest Lake MN 55025-2510 |
| Practice Telephone | 6514643685 |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302102 | Carrie Niles | Speech-Language Pathologist | 310 5th St, Hayti, SD 57241 | 2016-09-01 |
| Street Address |
20 LAKE ST N STE 103 |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396250858 | Rebecca Bowers | Marriage & Family Therapist | 20 Lake St N Ste 103, Forest Lake, MN 55025-2510 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609043876 | Kari Lyn Wampler | Counselor | 244 Lake St N, Forest Lake, MN 55025-2517 | 2008-05-15 |
| 1043597461 | Savi Services, Inc | Counselor | 146 Lake St N, Suite 105, Forest Lake, MN 55025-2518 | 2011-11-14 |
| 1932437126 | Jorja Jamison | Counselor | 1068 Lake St S, Ste 109, Forest Lake, MN 55025-2633 | 2009-11-25 |
| 1477795615 | Breanna Dee Herbst | Counselor | 1068 Lake St S, Suite 12, Forest Lake, MN 55025-2639 | 2009-04-02 |
| 1801929914 | Bridges and Pathways Counseling Services Inc. | Counselor | 1068 Lake St S, Suuite 109, Forest Lake, MN 55025-2639 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
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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.