JENNIFER ANN GULLICKSON (NPI# 1760965156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760965156 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN GULLICKSON |
| Other Name | JENNIFER ANN PETERSEN |
| Credential | MS, LPCC, NCC |
| Practice Address |
400 E 1st St Morris MN 56267-1408 |
| Practice Telephone | 3205891313 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CC01875 | MN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CC01875 | MN | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
CC01875 | MN | Behavioral Health & Social Service Providers |
| Street Address |
400 E 1ST ST |
| City | MORRIS |
| State | MN |
| Zip Code | 56267-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536920 | Brian A Brennan | Allergy & Immunology | 400 E 1st St, Morris, MN 56267-1408 | 2005-08-30 |
| 1942816624 | Stevens Community Medical Center Inc | Clinic/Center | 400 E 1st St, Morris, MN 56267-1408 | 2020-09-18 |
| 1558989830 | Rachel Irene Kloehn | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2020-07-13 |
| 1538781935 | Adel Dimassi | Internal Medicine | 400 E 1st St, Morris, MN 56267-1408 | 2020-05-08 |
| 1144867318 | Rachel Lee Pappenfus | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-12-05 |
| 1275174641 | Jessica Lynn Spaulding | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-10-07 |
| 1962062489 | Nicole Renee Raths | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-06-17 |
| 1598321507 | Ashley Love Denton | Dietitian, Registered | 400 E 1st St, Morris, MN 56267-1408 | 2019-05-15 |
| 1871057646 | Kellianne Kim | Nurse Practitioner | 400 E 1st St, Morris, MN 56267-1408 | 2019-01-25 |
| 1851819767 | Lauren Schmidgall | Occupational Therapist | 400 E 1st St, Morris, MN 56267-1408 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
| 1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
| 1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
| 1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
| 1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
| 1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
| 1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
| 1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
| Find all providers in zip 56267 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366638694 | Michelle Leann Reddinger | Counselor | 1473 Mollie Dr, Morris, IL 60450-2489 | 2007-09-20 |
| 1114143617 | Victoria Ann Scully-oakes | Counselor | 209 East St, C, Morris, CT 06763-1829 | 2007-04-17 |
| 1184272908 | Sarah Beth Ezell | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
| 1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
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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.