MARY A REYNOLDS (NPI# 1750823753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750823753 |
| Entity Type | Individual |
| Full Name | MARY A REYNOLDS |
| Practice Address |
3833 Coon Rapids Blvd Nw Suite 120 Coon Rapids MN 55433-2643 |
| Mailing Address |
1900 Silver Lake Rd Nw Suite 110 Saint Paul MN 55112-1786 |
| Practice Telephone | 7637673350 |
| Practice Fax Number | 7637670921 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| 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 |
|---|---|---|---|---|
| 1578047148 | Mary Stout Reynolds | Social Worker | 39 Main St Ste 31, Northampton, MA 01060-3578 | 2018-09-19 |
| 1265741359 | Mary Elizabeth Reynolds | Speech-Language Pathologist | 1572 Lakeside Dr, Wantagh, NY 11793-2444 | 2010-10-07 |
| 1053507988 | Mary Elizabeth Reynolds | Social Worker | 1036 Elgin Ave, 1st Floor, Forest Park, IL 60130-2856 | 2007-09-25 |
| 1083736623 | Mary Catherine Reynolds | Social Worker | 110 Northview Ct, Staten Island, NY 10301-1363 | 2007-04-04 |
| 1306907175 | Mary Elizabeth Reynolds | Speech-Language Pathologist | One John Marshall Drive, Marshall University Speech and Hearing Center, Huntington, WV 25755-2675 | 2006-12-13 |
| 1407824048 | Mary Jo Reynolds | Physical Therapist | 315 8th St, Lincoln, IL 62656-2671 | 2006-03-09 |
| 1790782944 | Mary Reynolds | Family Medicine | 409 Antero St, Golden, CO 80401-5291 | 2005-07-01 |
| 1831725621 | Mary L Reynolds | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-03-12 |
| 1659939585 | Mary Catherine Reynolds | Dentist | 106 Central Blvd, Flora, MS 39071-8003 | 2019-06-05 |
| 1215593173 | Mary Casey Reynolds | Health Educator | 100 W 10th St Ste 1100, Wilmington, DE 19801-6607 | 2019-05-16 |
| Street Address |
3833 COON RAPIDS BLVD NW SUITE 120 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529889 | Christine Kelley | Physician Assistant | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2643 | 2006-04-25 |
| 1700319977 | Kelly Jo Mcmartin | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-04-05 |
| 1114465135 | Sarah Karyn Myer | Nurse Practitioner | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2017-02-09 |
| 1366994527 | Tanya Marie Svenddal | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-11-03 |
| 1710330691 | Tyler Zillmer | Counselor | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2016-07-15 |
| 1568818557 | Stephanie Fish | Marriage & Family Therapist | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-05-09 |
| 1396102364 | Alice I Congdon | Counselor | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2016-01-21 |
| 1780017442 | Generations Foot and Ankle Clinic | Podiatrist | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2013-08-16 |
| 1134406200 | Christine Zwicky | Physician Assistant | 3833 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2643 | 2011-11-03 |
| 1538325345 | Lyla Veen | Psychiatry & Neurology | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952537839 | Erika Mcafee | Counselor | 2079 128th Ln Nw, Coon Rapids, MN 55448-2521 | 2009-06-05 |
| 1932717022 | Kyle Erich Dufek | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2020-07-15 |
| 1114544087 | Hong Fa Thao | Counselor | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-06-26 |
| 1265071740 | Burt Jeffery Edwards | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2019-12-31 |
| 1144869801 | Andrea Workman | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2019-12-29 |
| 1972075893 | Shu-chun Lee | Counselor | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2018-12-18 |
| 1073081535 | Adam Palowski | Counselor | 10077 Dogwood St Nw, Coon Rapids, MN 55448-5286 | 2018-11-02 |
| 1578030375 | Isaac Boike | Counselor | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-30 |
| 1083108138 | Kristal Ficzeri | Counselor | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2018-06-20 |
| 1649783770 | Marissa Emily Marx | Counselor | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2017-11-11 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on MARY A REYNOLDS.
| 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.